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1922071687
TRI STATE GASTROENTEROLOGY, P.C.
BULLHEAD CITY, AZ
NPI
1922071687
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Entity Type
Organization
Authorized Contact
ALTAF JAN
President
928-763-1680
Organization Subpart ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
Enumeration Date
2006-02-10
Last Update Date
2007-12-06
Business Address
TRI STATE GASTROENTEROLOGY, P.C.
1225 HANCOCK RD SUITE 205
BULLHEAD CITY, AZ 86442-5948
Phone number: 928-763-1680
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Mailing Address
TRI STATE GASTROENTEROLOGY, P.C.
PO BOX 27340
PHOENIX, AZ 85061-7340
Phone number: 602-943-9200
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