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Organization

MERCY CLINIC-SPRINGFIELD COMMUNITIES

Active
Other names
Mercy Clinic-Sports Medicine
Organization subpart
No

Provider details

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

Contact information

Practice address
2135 S FREMONT AVE, SPRINGFIELD, MO 65804-2239
(417) 820-7990
(417) 820-8734
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MO

Other

Enumeration date
05/06/2009
Last updated
02/02/2012
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