Provider First Line Business Practice Location Address:
ST. JOHN'S PHYSICIANS & CLINICS, INC.
Provider Second Line Business Practice Location Address:
620 S. GLENSTONE
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-829-4620
Provider Business Practice Location Address Fax Number:
417-829-4316
Provider Enumeration Date:
06/15/2006