NPI | 1962534727 |
---|---|
Doing Business As | MERCY CLINIC FAMILY MEDICINE-REPUBLIC |
Entity Type | Organization |
Authorized Contact | STUART STANGELAND Senior Vice President 417-820-3873 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 107047) |
363A00000X Physician Assistant (Licence: MO 2001029957) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 145564) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2018-06-11 |