Organization
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Active
Other names
MERCY CLINIC-SMITH GLYNN CALLAWAY
Organization subpart
No
Provider details
NPI number
Authorized official
DONN SORENSEN (CHIEF OPERATING OFFICER)
(417) 829-4264
Entity
Organization
Contact information
Practice address
3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
(417) 883-7422
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T002235
MO
207K00000X
Allergy & Immunology Physician
105723
MO
207N00000X
Dermatology Physician
R8F16
MO
207R00000X
Internal Medicine Physician
R3B79
MO
207RP1001X
Pulmonary Disease Physician
R9348
MO
207RR0500X
Rheumatology Physician
R8331
MO
207V00000X
Obstetrics & Gynecology Physician
108358
MO
208000000X
Pediatrics Physician
R5004
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102991
MO
Other
Enumeration date
01/03/2007
Last updated
02/07/2012
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