St Anthony Physicians Inpatient Medicine

NPI #1194268011 in Edmond, Oklahoma

Provider Information

NPI Number: 1194268011
Entity Type: Organization
Organization Name: St Anthony Physicians Inpatient Medicine
Subpart: Yes (part of a larger organization)
Parent Organization: SSM HEALTH CARE OF OKLAHOMA, INC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 25, 2016
Last Updated: Nov 25, 2016

Practice Location

Address: 308 NW 153RD ST
City: Edmond
State: Oklahoma
ZIP Code: 73013-1173
Phone: (405) 888-9949

Authorized Official

Name: CRYSTAL L PENA
Title: INSURANCE CREDENTIALING SPECIALIST
Phone: (405) 272-7452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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