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1831730670
ST. MARY'S SPECIALTY LLC
RUSSELLVILLE, AR
NPI
1831730670
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Entity Type
Organization
Authorized Contact
TERRANCE DILLON
Assistant Secretary
502-596-7220
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2019-10-02
Last Update Date
2022-02-11
Business Address
ST. MARY'S SPECIALTY LLC
1808 W MAIN ST
RUSSELLVILLE, AR 72801-2724
Phone number: 479-968-2841
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Mailing Address
ST. MARY'S SPECIALTY LLC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN 37027-5098
Phone number: 615-920-7782
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