| NPI | 1548725302 |
|---|---|
| Doing Business As | SSM HEALTH CSOO PET/CT |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |