Shawnee Medical Center Clinic, INC
NPI #1841832755 in Ada, Oklahoma
Provider Information
- NPI Number
- 1841832755
- Entity Type
- Organization
- Organization Name
- Shawnee Medical Center Clinic, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SSM HEALTH CARE OF OKLAHOMA, INC
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Oct 11, 2019
- Last Updated
- Oct 11, 2019
Practice Location
Authorized Official
- Name
- CRYSTAL L PENA
- Title
- PROVIDER ENROLLMENT/INS CREDENTIAL
- Phone
- (405) 272-7452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
| Family Medicine |
| Internal Medicine |
| Internal Medicine - Gastroenterology — Gastroenterology |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
| Internal Medicine - Rheumatology — Rheumatology |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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