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Organization
ST. JOHN'S MEDICAL GROUP
Active
Organization
ST. JOHN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SUMNER (REVENUE CYCLE DIRECTOR)
(417) 627-8930
Entity
Organization
Contact information
Practice address
2711 S ROUSE ST, SUITE C, PITTSBURG, KS 66762-6620
(417) 627-8967
(417) 627-8951
Mailing address
1701 W 26TH ST, SUITE B, JOPLIN, MO 64804-1513
(417) 627-8967
(417) 627-8920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/27/2006
Last updated
09/02/2009
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