| NPI | 1093125072 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |