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Organization

MERCY CLINIC SPRINGFIELD COMMUNITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONN E. SORENSEN (SENIOR VICE PRESIDENT/COO)
(417) 820-6556
Entity
Organization

Contact information

Practice address
2030 S NATIONAL AVE, SUITE 105, SPRINGFIELD, MO 65804-2222
(417) 820-9590
(417) 820-9592
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
06/01/2006
Last updated
08/13/2013
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