TRI-STATE VASCULAR GROUP, PLLC is a vascular surgery surgery in Needles, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. TRI-STATE VASCULAR GROUP, PLLC NPI is 1366993818. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1401 BAILEY AVE BLDG A
NEEDLES, CA
ZIP 92363-103
Phone: (960) 590-0155
Fax: (760) 326-7170
The provider's authorized official is Wantzy Cooper .
The authorized official title is Owner/member Manager and has the following contact phone number (760) 590-0155.
The enumeration date for this NPI number is 10/19/2016 and was last updated on 4/8/2024.