| NPI | 1447923438 |
|---|---|
| Doing Business As | ST BERNARDS SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN LIEBLONG President 870-932-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2021-07-27 |