| NPI | 1124300512 |
|---|---|
| Doing Business As | ST ANTHONY INTERVENTIONAL RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |