St. John's Clinic, Inc.

NPI #1003187402 in Nixa, Missouri

Provider Information

NPI Number
1003187402
Entity Type
Organization
Organization Name
St. John's Clinic, Inc.
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jan 18, 2012
Last Updated
Jan 18, 2012

Practice Location

Address
940 W MOUNT VERNON ST
City
Nixa
ZIP Code
65714-9609
Phone
(417) 724-5437

Authorized Official

Name
DONN E. SORENSEN
Title
VICE PRESIDENT AMBULATORY CARE
Phone
(417) 820-6556

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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