St. John's Physicians & Clinics, Inc. | |
620 S Glenstone Ave St. John's Physicians & Clinics, Inc. Springfield MO 65802-3206 | |
(417) 829-4620 | |
(417) 829-4316 |
Full Name | St. John's Physicians & Clinics, Inc. |
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Speciality | Family Medicine |
Location | 620 S Glenstone Ave, Springfield, Missouri |
Authorized Official Name and Position | Donn E. Sorensen (SENIOR VICE PRESIDENT/COO) |
Authorized Official Contact | 4178206556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. John's Physicians & Clinics, Inc. 1965 S Fremont Ave St. John's Physicians & Clinics, Inc. Springfield MO 65804-2201 Ph: (417) 829-4264 | St. John's Physicians & Clinics, Inc. 620 S Glenstone Ave St. John's Physicians & Clinics, Inc. Springfield MO 65802-3206 Ph: (417) 829-4620 |
NPI Number | 1366486052 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 09/22/2008 |
Identifier | Type | State | Issuer |
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1366486052 | NPI | - | NPPES |
502606502 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |