Organization · NPI-2

Tri-State Specialists, LLP

Orthopaedic Surgery · Sioux City, IA

NPI number1902134406
StatusActive
Last updated in NPPESOct 9, 2018

Details

NPI
1902134406
Entity type
Organization (NPI-2)
Legal business name
Tri-State Specialists, LLP
Organization subpart
No
Enumeration date
Nov 23, 2009
Last updated
Oct 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes
207XS0106X Orthopaedic Surgery, Hand Surgery––
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine––
207XX0005X Orthopaedic Surgery, Sports Medicine––
208200000X Plastic Surgery––
2084N0400X Psychiatry & Neurology, Neurology––
363AS0400X Physician Assistant, Surgical––

Practice location

2730 Pierce St Ste 300
Sioux City, IA 51104-3765

Phone 712-224-8677 · Fax 712-277-1662

Mailing address

2730 Pierce St Ste 300
Sioux City, IA 51104-3765

Phone 712-224-8677 · Fax 712-277-1662

Authorized official

Duane K Nelson
President
7122248677

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