NPI 1124069877

Mercy Clinic Springfield Communities

Organisation Otolaryngology Physician Berryville, AR

Practice location

Address: 613 Orchard Dr, Berryville, AR 72616-5013
Phone: (870) 423-4240
Fax: (870) 423-4241
Mailing address: PO Box 505164, Saint Louis, MO 63150-5164

Authorised official

Name: Stuart G. Stangeland
Title: Senior Vice President/Coo
Phone: (417) 820-6556

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence R8E81 (AR)

Other Otolaryngology providers in Arkansas →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence E0693 (AR)

Other Obstetrics & Gynecology providers in Arkansas →

Registry record

NPI: 1124069877
Entity type: Organization
NPI issued: 10 Jun 2006
Record last updated: 29 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.