Organization
ST BERNARDS PHYSICIAN CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LIEBLONG (PRESIDENT)
(870) 932-7024
Entity
Organization
Contact information
Practice address
800 S CHURCH ST STE 203, JONESBORO, AR 72401-4106
(870) 336-0277
(870) 932-5699
Mailing address
PO BOX 1331, JONESBORO, AR 72403-1331
(870) 932-7024
(870) 930-9377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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