| NPI | 1033408497 |
|---|---|
| Doing Business As | ST ANTHONY VASCULAR ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-07-07 |