| NPI | 1093254344 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS EAR, NOSE, & THROAT |
| Entity Type | Organization |
| Authorized Contact | SHASTA RENE MANUEL Vice President Finance 405-272-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2024-08-22 |