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
201 E OAK AVE, JONESBORO, AR 72401-4163
(870) 935-6729
(870) 268-4478
Mailing address
PO BOX 1331, JONESBORO, AR 72403-1331
(870) 932-7024
(870) 930-9377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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