NPI | 1043576606 |
---|---|
Doing Business As | INTERNAL MEDICINE DOWNTOWN |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Enumeration Date | 2012-04-09 |
Last Update Date | 2012-04-09 |