| NPI | 1174955363 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS FAMILY MEDICINE NORTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |