NPI: 1447700422
Provider Name: ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB
Doing Business As: SSM HEALTH CARE OF OKLAHOMA, INC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization
Specialization: Gastroenterology
CLIA Number: 37D1070234
Address:
535 NW 9TH ST
SUITE 325
OKLAHOMA CITY, OK
ZIP 73102
Phone: (405) 601-6630
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ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB is a gastroenterology internal medicine in Oklahoma City, OK. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB NPI is 1447700422. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ssm Health Care Of Oklahoma, Inc.
The provider's business location address is:
535 NW 9TH ST
SUITE 325
OKLAHOMA CITY, OK
ZIP 73102-070
Phone: (405) 601-6630
Fax: (405) 601-6617
The provider's authorized official is Crystal L Pena .
The authorized official title is Insurance Credentialing Specialist and has the following contact phone number (405) 272-7452.
The CLIA number assigned to this NPI record is 37D1070234 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 10/13/2016 and was last updated on 10/13/2016.