Tri-Lakes Urology, INC

NPI #1942472675 in Branson, Missouri

Provider Information

NPI Number: 1942472675
Entity Type: Organization
Organization Name: Tri-Lakes Urology, INC
Primary Specialty: Urology
Enumeration Date: Apr 2, 2008
Last Updated: Nov 18, 2010

Practice Location

Address: 545 BRANSON LANDING BLVD
Address 2: SUITE 307
City: Branson
State: Missouri
ZIP Code: 65616-4500
Phone: (417) 335-7736

Authorized Official

Name: DR. JERRY SAMUEL GIVENS, M.D.
Title: OWNER
Phone: (417) 335-7736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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