Tri - State Medical Group, Inc.
NPI #1780726620 in Beaver Falls, Pennsylvania
Provider Information
- NPI Number
- 1780726620
- 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 13, 2007
- Last Updated
- Oct 17, 2012
Practice Location
- Address
- 2620 CONSTITUTION BLVD
- City
- Beaver Falls
- State
- Pennsylvania
- ZIP Code
- 15010-1278
- Phone
- (724) 843-4755
Authorized Official
- Name
- KENNY HEINE
- Title
- DIR. OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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