Organization
ST. BERNARDS UROLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LIEBLONG (VP PHYSICIAN SERVICES)
(870) 932-7024
Entity
Organization
Contact information
Practice address
303 E MATTHEWS AVE, JONESBORO, AR 72401-3150
(870) 932-2926
Mailing address
303 E MATTHEWS AVE, JONESBORO, AR 72401-3150
(870) 932-2926
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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