Tri-State Medical Group INC

NPI #1922186006 in Keokuk, Iowa

Provider Information

NPI Number: 1922186006
Entity Type: Organization
Organization Name: Tri-State Medical Group INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2006
Last Updated: Jun 17, 2008

Practice Location

Address: 1603 MORGAN ST
Address 2: SUITE 7
City: Keokuk
State: Iowa
ZIP Code: 52632-3433
Phone: (319) 524-5734

Authorized Official

Name: MR. ALLAN W. ZASTROW
Title: CEO
Phone: (319) 524-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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