Tri-State Medical Group, Inc.

NPI #1215164488 in Beaver Falls, Pennsylvania

Provider Information

NPI Number: 1215164488
Entity Type: Organization
Organization Name: Tri-State Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jun 16, 2009
Last Updated: Jun 18, 2009

Practice Location

Address: 100 CHIPPEWA TOWN CTR.
Address 2: HERITAGE VALLEY CONVENIENT CARE-BEAVER FALLS
City: Beaver Falls
State: Pennsylvania
ZIP Code: 15010
Phone: (724) 774-2942

Authorized Official

Name: NORMAN F. MITRY
Title: PRESIDENT & CEO
Phone: (724) 773-4776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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