| 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 |