| NPI | 1508263229 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS MUSTANG |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2019-03-25 |