| NPI | 1366952004 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS HEALTHPLEX EAST SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207N00000X Dermatology | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2019-03-25 |