NPI | 1295493955 |
---|---|
Doing Business As | SSM HEALTH ST ANTHONY HOSPITAL MWC PHYSICIANS GROUP |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Provider Enrollment 405-272-7452 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
207R00000X Internal Medicine | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
Enumeration Date | 2021-11-30 |
Last Update Date | 2023-11-01 |