NPI | 1982890463 |
---|---|
Doing Business As | ST ANTHONY PHYSICIANS NORTH |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner Family | |
Enumeration Date | 2007-09-19 |
Last Update Date | 2023-10-31 |