Organization
MERCY HOSPITAL LEBANON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J ROBERTS (VP-FINANCE)
(417) 820-7363
Entity
Organization
Contact information
Practice address
1605 MARTIN SPRINGS DR, ROLLA, MO 65401-2982
(417) 533-6012
Mailing address
1605 MARTIN SPRINGS DR, ROLLA, MO 65401-2982
(417) 533-6012
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/08/2012
Last updated
02/16/2021
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