NPI 1497786859

St. John's Clinic, INC.

Organisation Surgery Physician Berryville, AR

Practice location

Address: 203 Rice St, Berryville, AR 72616-4388
Phone: (870) 423-3338
Fax: (870) 423-7330
Mailing address: PO Box 2580, Springfield, MO 65801-2580

Authorised official

Name: Donn E. Sorensen
Title: Senior Vice President/Coo
Phone: (417) 820-6556

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence R2975 (AR)

Other Surgery providers in Arkansas →

Registry record

NPI: 1497786859
Entity type: Organization
NPI issued: 5 Jul 2006
Record last updated: 11 Jul 2008

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.