| NPI | 1144836206 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP WOMENS HEALTH EAST |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Provider Enrollment Co Ordinator 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2021-08-11 |