Tri - State Medical Group, Inc.

NPI #1730221557 in Aliquippa, Pennsylvania

Provider Information

NPI Number
1730221557
Entity Type
Organization
Organization Name
Tri - State Medical Group, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 12, 2007
Last Updated
Oct 17, 2012

Practice Location

Address
2299 BRODHEAD RD
ZIP Code
15001-4674
Phone
(724) 378-8484

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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