NPI | 1407211048 |
---|---|
Doing Business As | SSM HEALTH MEDICAL GROUP RHEUMATOLOGY |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
Enumeration Date | 2015-12-28 |
Last Update Date | 2022-04-19 |