Individual provider · Type 1 NPI

Tyrun Keith Richardson, MD

Urology Physician · Springfield, MO

NPI number 1205834074 Active

Practice location

1965 S Fremont Ave, Ste 370
Springfield, MO 65804-2201

Call (417) 820-0300 Map

Mailing address

PO Box 505164
St. Louis, MO 63150-5164

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000X04-33531 (KS)
Urology Physician 208800000X31026 (OK)
Urology Physician Primary 208800000X2016012292 (MO)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1205834074

Tyrun Keith Richardson, MD's National Provider Identifier is 1205834074, issued on Jul 14, 2005. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Springfield, MO. The record was last updated on Jun 16, 2016.