| NPI | 1184859464 |
|---|---|
| Other Name | ST ANTHONY PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 23917) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2019-03-25 |