Tri State Medical LLC

NPI #1417650847 in Mason, Ohio

Provider Information

NPI Number: 1417650847
Entity Type: Organization
Organization Name: Tri State Medical LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 24, 2023
Last Updated: Mar 24, 2023

Practice Location

Address: 5633 TYLERSVILLE RD STE B
City: Mason
State: Ohio
ZIP Code: 45040-2533
Phone: (937) 681-9258

Authorized Official

Name: STEPHEN ERICSON
Title: MEMBER
Phone: (937) 681-9258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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