# MERCY CLINIC ENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY CLINIC EAST COMMUNITIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366705998
- **Legal business name:** MERCY CLINIC EAST COMMUNITIES
- **Authorized official:** KERRY DUNGER (EXECUTIVE DIRECTOR - LICENSE)
- **Authorized official phone:** (314) 364-3707

## Contact information

- **Practice address:** 901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
- **Practice address phone:** (636) 390-1570
- **Practice address fax:** (636) 390-1571
- **Mailing address:** 901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
- **Mailing address phone:** (636) 390-1570
- **Mailing address fax:** (636) 390-1571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 04/28/2025