NPI 1205834074

Tyrun Keith Richardson, MD

Practitioner Urology Physician Springfield, MO

Practice location

Address: 1965 S Fremont Ave STE 370, Springfield, MO 65804-2201
Phone: (417) 820-0300
Mailing address: PO Box 505164, Saint Louis, MO 63150-5164

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 2016012292 (MO)

Other Urology providers in Missouri →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 04-33531 (KS)

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 31026 (OK)

Registry record

NPI: 1205834074
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2005
Record last updated: 16 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.