| NPI | 1093013948 |
|---|---|
| Doing Business As | SAINTS DERMATOLOGY ENID |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-07-29 |