NPI | 1457363806 |
---|---|
Doing Business As | MERCY CLINIC-ROLLA-INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | STUART STANGELAND Chief Operating Officer 417-820-6556 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2002026119) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2004035776) | |
363L00000X Nurse Practitioner (Licence: MO 135755) | |
Enumeration Date | 2006-08-13 |
Last Update Date | 2015-04-07 |