| NPI | 1841832755 |
|---|---|
| Doing Business As | SSM HEALTH SPECIALTY CLINIC ADA |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Provider Enrollment/Ins Credential 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |