NPI | 1861019663 |
---|---|
Doing Business As | SSM HEALTH MEDICAL GROUP UROGYNOCOLOGY |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Provider Enrollment Coordinator 405-272-7452 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-06-29 |