| Tri-state Medical Group Inc | |
|
400 N 17th St Keokuk IA 52632-3452 | |
| (319) 524-5734 | |
| (319) 524-5758 |
| Full Name | Tri-state Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 400 N 17th St, Keokuk, Iowa |
| Authorized Official Name and Position | Bryn Asbury (OFFICE MANAGER) |
| Authorized Official Contact | 3195268789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Medical Group Inc 400 N 17th St Keokuk IA 52632-3452 Ph: (319) 524-5734 | Tri-state Medical Group Inc 400 N 17th St Keokuk IA 52632-3452 Ph: (319) 524-5734 |
| NPI Number | 1689653016 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 07/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689653016 | NPI | - | NPPES |
| 1689653016 | Medicaid | MO | |
| 56343 | Other | IA | WELLMARK BC/BS |
| 1689653016 | Medicaid | IL | |
| 0145888 | Medicaid | IA |
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