# ST BERNARDS PHYSICIAN CLINICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124813076
- **Authorized official:** JOHN LIEBLONG (PRESIDENT)
- **Authorized official phone:** (870) 932-7024

## Contact information

- **Practice address:** 621 E MATTHEWS AVE, JONESBORO, AR 72401-3145
- **Practice address phone:** (870) 932-6799
- **Practice address fax:** (870) 932-8423
- **Mailing address:** PO BOX 1331, JONESBORO, AR 72403-1331
- **Mailing address phone:** (870) 932-7024
- **Mailing address fax:** (870) 930-9377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 04/11/2025
- **Last updated:** 04/11/2025