St Johns Clinic INC
NPI #1780707406 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1780707406
- Entity Type
- Organization
- Organization Name
- St Johns Clinic INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 120 W 16TH ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1039
- Phone
- (417) 926-6111
Authorized Official
- Name
- DONN E. SORENSEN
- Title
- SENIOR VICE PRESIDENT
- Phone
- (417) 829-4264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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