NPI | 1689964645 |
---|---|
Doing Business As | SAINTS ON SITE AT AMERICAN FIDELITY |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-04-12 |
Last Update Date | 2020-12-16 |