TRI-STATE MEDICAL SPECIALISTS LLC
Nursing at Wagon Wheel Ln, Bullhead City, AZ

License number
Arizona 5573
Category
Medical Practice
Type
Neurological Surgery
License number
Arizona 20605
Category
Medical Practice
Type
Neurological Surgery
License number
Arizona 20605
Category
Psychiatric
Type
Pain Medicine
License number
Arizona 5573
Category
Psychiatric
Type
Pain Medicine
License number
Arizona AP3760
Category
Nursing
Type
Nurse Practitioner
License number
Arizona AP8599
Category
Nursing
Type
Nurse Practitioner
License number
Arizona AP8599
Category
Nursing
Type
Family
License number
Arizona AP8599
Category
Nursing
Type
Primary Care
Owner
Name: DR. BENJAMIN H VENGER MD
Title: OWNER
Phone: (928) 788-3333
Address
Address
1510 E Wagon Wheel Ln STE 110, Bullhead City, AZ 86426
National Provider ID: 1649598426
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TRI-STATE MEDICAL SPECIALISTS LLC at bizstanding.com

TRI-STATE MEDICAL SPECIALISTS, LLC

Bullhead City, AZ  -  Las Vegas, NV

Registration:
Dec 24, 2009
Addresses:
5263 Hwy 95, Fort Mohave, AZ 86426 (Physical)
3140 E Viking Rd, Las Vegas, NV 89121 (Foreign)
State ID:
R-1572887-6
Manager:
Benjamin H Venger Md (Manager), 5263 Hwy 95, Fort Mohave, AZ 86426 (Physical)
Agent:
Benjamin H Venger,5263 Hwy 95, Fort Mohave, AZ 86426 (Physical)

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