| NPI | 1629374095 |
|---|---|
| Doing Business As | ST ANTHONY GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2019-03-25 |