# ST BERNARDS PHYSICIAN CLINICS INC

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

## Provider details

- **NPI number:** 1558140822
- **Authorized official:** JOHN LIEBLONG (PRESIDENT)
- **Authorized official phone:** (870) 932-7024

## Contact information

- **Practice address:** 201 E OAK AVE, JONESBORO, AR 72401-4163
- **Practice address phone:** (870) 935-6729
- **Practice address fax:** (870) 268-4478
- **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 |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 09/26/2023
- **Last updated:** 09/26/2023