Organization
ST JOHN'S REGIONAL MEDICAL CENTER
Active
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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