| NPI | 1164810677 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP HEALTHPLEX NORTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2022-04-19 |