| NPI | 1659505576 |
|---|---|
| Doing Business As | MERCY CLINIC-SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DONN E. SORENSEN Executive Vice President, COO 417-820-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2012-02-02 |