| NPI | 1710272844 |
|---|---|
| Doing Business As | ST ANTHONY FAMILY MEDICINE SOUTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-07-08 |