Tri-State Medical Specialists LLC
NPI #1649598426 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1649598426
- Entity Type
- Organization
- Organization Name
- Tri-State Medical Specialists LLC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- May 4, 2010
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 1510 E WAGON WHEEL LN STE 110
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-6698
- Phone
- (928) 788-3333
Authorized Official
- Name
- KNAYA TABORA
- Title
- OWNER/MEMBER MANAGER
- Phone
- (928) 788-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
| Neurological Surgery |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
| Pain Medicine - Pain Medicine — Pain Medicine |
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Primary Care — Primary Care |
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