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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRI LAKES PODIATRY PC

Active Organization

TRI LAKES PODIATRY PC is a Podiatrist organization located in NIXA, Missouri. NPI 1275758351 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · NIXA, MO

Registration Details

NPI Number
1275758351
Provider Type
Organization
NPI Issued
Apr 16, 2007 (19.145889527399 yrs)
Last Updated
Aug 22, 2020
License
2000165040 (MO)

Practice Information

Address
105 S RIDGECREST AVE
NIXA, MO, 657147807
Browse MO providers · Browse ZIP 65714
Phone
4177243100
Fax
4177252985
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.