Tri-State Vascular Group, PLLC
Tri-State Vascular Group, PLLC is a Vascular Surgery Physician in Needles, California. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1401 Bailey Ave Bldg ANeedles, CA 92363-3103
Phone: (960) 590-0155
Fax: (760) 326-7170
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1366993818 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wantzy Cooper — Owner/Member Manager · (760) 590-0155 |
| NPI enumerated | October 19, 2016 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
| Mailing address | Po Box 9893, Fort Mohave, AZ 86427-9893 |