St Anthony Physicians Dermatology Midwest City

NPI #1841659125 in Midwest City, Oklahoma

Provider Information

NPI Number
1841659125
Entity Type
Organization
Organization Name
St Anthony Physicians Dermatology Midwest City
Subpart
Yes (part of a larger organization)
Parent Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Primary Specialty
Dermatology
Enumeration Date
Feb 16, 2016
Last Updated
Feb 16, 2016

Practice Location

Address
1622 MIDTOWN PLACE
ZIP Code
73130-5266
Phone
(405) 280-7546

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dermatology

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