Tyrun Keith Richardson, M.D.

Urology Physician · Springfield, MO

Individual Active NPI

NPI number 1205834074

Practice location

1965 S Fremont Ave
Ste 370
Springfield, MO 65804-2201
Phone
(417) 820-0300

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NPI record

NPI
1205834074
Entity type
Individual (Type 1)
Enumeration date
July 14, 2005
Last updated
June 16, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X 2016012292 MO
Urology Physician 208800000X 04-33531 KS
Urology Physician 208800000X 31026 OK

Mailing address

PO Box 505164
Saint Louis, MO 63150-5164
Phone
(417) 829-4620

About Dr. Richardson

Tyrun Keith Richardson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201. The NPI number 1205834074 was assigned on July 14, 2005 and the record was last updated on June 16, 2016.

Dr. Richardson lists 3 licenses in the registry: #2016012292 (MO) for Urology Physician; #04-33531 (KS) for Urology Physician; #31026 (OK) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyrun Keith Richardson, M.D.?

The NPI number is 1205834074.

What is the phone number of Dr. Richardson?

The phone number listed for the practice location is (417) 820-0300.

Where is Dr. Richardson located?

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

What is the taxonomy code for Dr. Richardson?

The primary taxonomy code is 208800000X – Urology Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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