NPI | 1457480188 |
---|---|
Doing Business As | MERCY CLINIC FAMILY MEDICINE-MOUNTAIN GROVE |
Entity Type | Organization |
Authorized Contact | WILLIAM ROBERTS CFO 417-820-7363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 130675) |
363LF0000X Nurse Practitioner, Family (Licence: MO 119291) | |
207Q00000X Family Medicine (Licence: MO R9C21) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2025-10-14 |