Organization
ST. JOHN'S HEALTH SYSTEM
Active
Other names
St. John's - Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY KIM DAY (CHIEF EXECUTIVE OFFICER)
(417) 820-2845
Entity
Organization
Contact information
Practice address
1630 E BRADFORD PKWY, SUITE B, SPRINGFIELD, MO 65804-6513
(417) 820-3400
Mailing address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-8620
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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