| NPI | 1770612590 |
|---|---|
| Doing Business As | MERCY CLINIC PEDIATRICS- LEBANON |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBERTS Vice President Finance 417-820-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 123516) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-10-14 |