St Johns Clinic INC
NPI #1447323399 in Berryville, Arkansas
Provider Information
- NPI Number
- 1447323399
- Entity Type
- Organization
- Organization Name
- St Johns Clinic INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 613 ORCHARD DR
- City
- Berryville
- State
- Arkansas
- ZIP Code
- 72616-5013
- Phone
- (870) 423-7171
Authorized Official
- Name
- VICKIE JENKINS
- Title
- PROVIDER ENROLLMENT COORDINATOR
- Phone
- (417) 829-4264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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