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Organization

ST. JOHN'S PHYSICIANS & CLINICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONN E. SORENSEN (SENIOR VICE PRESIDENT/COO)
(417) 820-6556
Entity
Organization

Contact information

Practice address
ST. JOHN'S PHYSICIANS & CLINICS, INC., 620 S. GLENSTONE, SPRINGFIELD, MO 65802
(417) 829-4620
(417) 829-4316
Mailing address
ST. JOHN'S PHYSICIANS & CLINICS, INC., 1312 E. LARK, SPRINGFIELD, MO 65804
(417) 829-4264
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/15/2006
Last updated
08/22/2020
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