| NPI | 1891245882 |
|---|---|
| Doing Business As | ST ANTHONY EAST-HERITAGE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |