| NPI | 1083924294 |
|---|---|
| Doing Business As | MERCY CLINIC-BERRYVILLE-WALMART |
| Entity Type | Organization |
| Authorized Contact | DONN E. SORENSEN Executive Vice President, COO 417-820-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01264) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2013-08-13 |