| NPI | 1881000941 |
|---|---|
| Doing Business As | ST ANTHONY PHYSICIANS VASCULAR SURGERY |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |