St. John's Physicians & Clinics, Inc.

NPI #1033315148 in Rolla, Missouri

Provider Information

NPI Number
1033315148
Entity Type
Organization
Organization Name
St. John's Physicians & Clinics, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 25, 2007
Last Updated
Jun 2, 2010

Practice Location

Address
1605 MARTIN SPRINGS DR
Address 2
SUITE 210
City
Rolla
ZIP Code
65401-2931
Phone
(573) 458-6326

Authorized Official

Name
VICKIE JENKINS
Title
PROVIDER ENROLLMENT COORDINATOR
Phone
(417) 829-4264

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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