NPI | 1548761513 |
---|---|
Doing Business As | ST ANTHONY PHYSICIANS UROLOGY |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Enumeration Date | 2018-02-26 |
Last Update Date | 2018-02-26 |