# ST. JOHN'S PHYSICIANS & CLINICS, INC.

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

## Provider details

- **NPI number:** 1366486052
- **Authorized official:** MR. DONN E. SORENSEN (SENIOR VICE PRESIDENT/COO)
- **Authorized official phone:** (417) 820-6556

## Contact information

- **Practice address:** 620 S GLENSTONE AVE, ST. JOHN'S PHYSICIANS & CLINICS, INC., SPRINGFIELD, MO 65802-3206
- **Practice address phone:** (417) 829-4620
- **Practice address fax:** (417) 829-4316
- **Mailing address:** 1965 S FREMONT AVE, ST. JOHN'S PHYSICIANS & CLINICS, INC., SPRINGFIELD, MO 65804-2201
- **Mailing address phone:** (417) 829-4264
- **Mailing address fax:** (417) 829-4316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 09/22/2008