Organization
ST JOHN'S REGIONAL MEDICAL CENTER
Active
Other names
21st Century Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MENTGEN (COO)
(417) 659-6700
Entity
Organization
Contact information
Practice address
2727 MCCLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 781-2727
Mailing address
PO BOX 760, JOPLIN, MO 64802-0760
(417) 624-3040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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