| NPI | 1437561180 |
|---|---|
| Other Name | ST ANTHONY PHYSICIANS TELEPSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OK 30382) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |