Individual
DR. STEPHEN V GORYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 N OAK AVE, COOKEVILLE, TN 38501-2440
(931) 528-5547
(931) 526-2699
Mailing address
320 N OAK AVE, COOKEVILLE, TN 38501-2440
(931) 528-5547
(931) 526-2699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
L266355
MI
208800000X
Urology Physician
Primary
MD10050
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1940005
UNITED HEALTHCARE
TN
01
—
2004651
BLUE CROSS BLUE SHEILD
TN
05
—
3378641
—
TN
01
—
9644104
CIGNA HEALTHCARE
TN
Enumeration date
08/29/2005
Last updated
12/03/2007
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