Tri-State Medical Group INC

NPI #1326027756 in Keokuk, Iowa

Provider Information

NPI Number: 1326027756
Entity Type: Organization
Organization Name: Tri-State Medical Group INC
Primary Specialty: Urology
Enumeration Date: Jan 13, 2006
Last Updated: Jun 17, 2008

Practice Location

Address: 1603 MORGAN ST
Address 2: SUITE 3
City: Keokuk
State: Iowa
ZIP Code: 52632-3433
Phone: (319) 524-4300

Authorized Official

Name: BRYN ASBURY
Title: OFFICE MANAGER
Phone: (319) 526-8789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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