Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tri-State Ob-Gyn PC

Organization Obstetrics & Gynecology Physician · NPI 1063510204

Tri-State Ob-Gyn PC is an Obstetrics & Gynecology Physician in Bullhead City, Arizona. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3003 Highway 95 Ste 31
Bullhead City, AZ 86442-7860
Phone: (928) 704-2229
Fax: (928) 704-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1063510204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore London — President · (928) 704-2229
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3003 Highway 95, Ste 31, Bullhead City, AZ 86442-7860

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