St Johns Clinic INC

NPI #1013130483 in Lebanon, Missouri

Provider Information

NPI Number
1013130483
Entity Type
Organization
Organization Name
St Johns Clinic INC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 11, 2007
Last Updated
Sep 27, 2011

Practice Location

Address
331 HOSPITAL DR
Address 2
SUITE E
ZIP Code
65536-9217
Phone
(417) 533-6540

Authorized Official

Name
DONN E. SORENSEN
Title
SENIOR VICE PRESIDENT
Phone
(417) 829-4264

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Durable Medical Equipment & Medical Supplies

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