| Dr Blake A Stamper, DO | |
|
2000 Highway 95, Suite 200, Bullhead City, AZ 86442-6050 | |
| (928) 758-1175 | |
| (928) 758-5191 |
| Full Name | Dr Blake A Stamper |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2000 Highway 95, Bullhead City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225003700 | NPI | - | NPPES |
| 130493 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2533 (Arizona) | Primary |
| Entity Name | Tri-state Orthopedic Institute, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518932094 PECOS PAC ID: 8022095694 Enrollment ID: O20050505000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake A Stamper, DO Po Box 27340, Phoenix, AZ 85061-7340 Ph: (602) 943-9200 | Dr Blake A Stamper, DO 2000 Highway 95, Suite 200, Bullhead City, AZ 86442-6050 Ph: (928) 758-1175 |
Dr. Robert L Lock, Ii, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Highway 95, Suite 200, Bullhead City, AZ 86442 Phone: 928-758-1175 Fax: 928-758-5191 | |
Nathan Chad Weaver, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Canyon Rd Ste 1, Bullhead City, AZ 86442 Phone: 928-444-1491 | |
Dr. Michelle A Klaumann, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 Highway 95 Ste 200, Bullhead City, AZ 86442 Phone: 928-758-1175 Fax: 928-758-5191 | |
James R Ingram, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Canyon Rd Ste C1, Bullhead City, AZ 86442 Phone: 928-444-1491 Fax: 928-444-1330 |