| NPI | 1841233913 |
|---|---|
| Doing Business As | ST. JOHN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | BOB BETHE;; Chief Executive Officer 620-534-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |