| NPI | 1346539541 |
|---|---|
| Doing Business As | TRI-STATE VASCULAR SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | SARA MARKS Vice President 606-324-4745 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3007367) | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2012-06-18 |