Organization
MERCY CLINIC SPRINGFIELD COMMUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO)
(417) 820-6556
Entity
Organization
Contact information
Practice address
11701 BEE CAVE PKWY, SUITE 213, BEE CAVE, TX 78738-6466
(417) 820-9219
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
TX
Other
Enumeration date
06/17/2014
Last updated
06/19/2014
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