| NPI | 1457665333 |
|---|---|
| Doing Business As | ST JOHNS MEDICAL CENTER PHYSICIAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOHN J. KREN CFO 307-739-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2013-08-14 |