| NPI | 1124611009 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP MWC SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Provider Enrollment 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |