| NPI | 1407913676 |
|---|---|
| Doing Business As | MERCY CLINIC-SMITH GLYNN CALLAWAY |
| Entity Type | Organization |
| Authorized Contact | DONN SORENSEN Chief Operating Officer 417-829-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 102991) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO T002235) |
| 207K00000X Allergy & Immunology (Licence: MO 105723) | |
| 207N00000X Dermatology (Licence: MO R8F16) | |
| 207R00000X Internal Medicine (Licence: MO R3B79) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO R9348) | |
| 207RR0500X Internal Medicine, Rheumatology (Licence: MO R8331) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 108358) | |
| 208000000X Pediatrics (Licence: MO R5004) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-02-07 |