| Mercy Clinic-rolla-internal Medicine | |
|
1605 Martin Springs Dr Suite 260 Rolla MO 65401-2931 | |
| (573) 458-6358 | |
| (573) 458-6464 |
| Full Name | Mercy Clinic-rolla-internal Medicine |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1605 Martin Springs Dr, Rolla, Missouri |
| Authorized Official Name and Position | Stuart Stangeland (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4178206556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic-rolla-internal Medicine Po Box 505164 Saint Louis MO 63150-5164 Ph: (417) 820-2000 | Mercy Clinic-rolla-internal Medicine 1605 Martin Springs Dr Suite 260 Rolla MO 65401-2931 Ph: (573) 458-6358 |
| NPI Number | 1457363806 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457363806 | NPI | - | NPPES |
| 590094504 | Medicaid | MO |
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