NPI Provider: 1720084304
Contact Name: Bernabei Joseph John
Position: Owner
Phone: (304) 723-6331
Tri State Medical, Llc Information:
Tri State Medical, Llc organization have npi 1720084304, taxonomy code is 332BX2000X with license number is 5558 in . This Business address located in 3924 Main Street, Weirton, WV 26062 West Virginia.
Practice Location
Address: 3924 Main St, Weirton, WV 26062
Phone: (304) 797-8746
Business Location
Address: 3924 Main Street, Weirton, WV 26062
Phone: (304) 797-8746
Fax: (304) 797-8752
Taxonomy
Taxonomy Code: 332BX2000X
License Number: 5558
License Number of State: WV
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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