Tri Lakes Podiatry PC

NPI #1275758351 in Nixa, Missouri

Provider Information

NPI Number: 1275758351
Entity Type: Organization
Organization Name: Tri Lakes Podiatry PC
Primary Specialty: Podiatrist
Enumeration Date: Apr 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 105 S RIDGECREST AVE
City: Nixa
State: Missouri
ZIP Code: 65714-7807
Phone: (417) 724-3100

Authorized Official

Name: JEFFREY P KORTE, DPM
Title: OWNER DOCTOR
Phone: (417) 725-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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