| NPI | 1396399796 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP SLEEP DISORDERS |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Provider Enrollment/Credentialing 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |