| NPI | 1154681450 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS - MIDTOWN RENAL CARE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 22892) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |