Tri-State Neuro-Spine Institute, PLC

Organization Neurological Surgery Physician · NPI 1518935956

Tri-State Neuro-Spine Institute, PLC provides Neurological Surgery Physician services in Fort Mohave, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in: AZ
In the registry since: 2006

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Practice location Address checks out

5300 S Highway 95 Ste C
Fort Mohave, AZ 86426-9251 Not confirmed with CMS for 13 years — call before visiting
Phone: (928) 770-4515
Fax: (928) 770-4518

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary)	Taxonomy 207T00000X · Licence 34280 (AZ)

Record details

NPI number	1518935956
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Isaac Thapedi — President · (928) 770-4515
NPI enumerated	March 10, 2006
Last updated in NPPES	September 9, 2013
Mailing address	5300 S Highway 95, Suite C, Fort Mohave, AZ 86426-9251