Tri State Surgery PC

NPI #1881738995 in Omaha, Nebraska

Provider Information

NPI Number: 1881738995
Entity Type: Organization
Organization Name: Tri State Surgery PC
Primary Specialty: Surgery
Enumeration Date: Feb 20, 2007
Last Updated: Jan 23, 2014

Practice Location

Address: 1112 S 113TH CT
City: Omaha
State: Nebraska
ZIP Code: 68144-1857
Phone: (402) 334-9171

Authorized Official

Name: ARDITH A RYBERG, M.D.
Title: PRESIDENT
Phone: (402) 334-9171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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