Tri-State Urology

NPI #1356494876 in Pikeville, Kentucky

Provider Information

NPI Number: 1356494876
Entity Type: Organization
Organization Name: Tri-State Urology
Primary Specialty: Urology
Enumeration Date: Jan 19, 2007
Last Updated: Sep 21, 2010

Practice Location

Address: 255 CHURCH ST
Address 2: STE. 202
City: Pikeville
State: Kentucky
ZIP Code: 41501-3476
Phone: (606) 437-9550

Authorized Official

Name: MARK JOSEPH SWOFFORD, D.O.
Title: PRESIDENT PHYSICIAN
Phone: (606) 437-9550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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