| NPI | 1396343281 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP NORTH ENT |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Provider Enrollment Coordinator 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology |
| 231H00000X Audiologist | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-02-08 |