| NPI | 1982635868 |
|---|---|
| Doing Business As | TRI-LAKES UROLOGY |
| Entity Type | Organization |
| Authorized Contact | BOB PHILLIPS CEO 417-335-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 5248) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |