| NPI | 1871012955 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS HEALTH PLEX EAST SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2022-07-21 |