St Johns Clinic INC

NPI #1710187588 in Huntsville, Arkansas

Provider Information

NPI Number: 1710187588
Entity Type: Organization
Organization Name: St Johns Clinic INC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jul 20, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 705 PHILLIPS
City: Huntsville
State: Arkansas
ZIP Code: 72740
Phone: (479) 738-1700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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