| 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 |