Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Other names
MERCY CLINIC-HOLIDAY ISLAND
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO)
(417) 820-6556
Entity
Organization
Contact information
Practice address
1 PARK DR, SUITE C, HOLIDAY ISLAND, AR 72631-9216
(479) 363-9174
(479) 363-9175
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1025
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141392002
—
AR
Enumeration date
06/23/2006
Last updated
10/10/2013
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