| St Anthony Heritage Family Medicine | |
|
6908 E Reno Ave Building 1 Midwest City OK 73110-2128 | |
| (405) 737-6871 | |
| (405) 733-4281 |
| Full Name | St Anthony Heritage Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6908 E Reno Ave, Midwest City, Oklahoma |
| Authorized Official Name and Position | Crystal L Pena (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4052727452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony Heritage Family Medicine Po Box 269064 Oklahoma City OK 73126-9064 Ph: (405) 737-6871 | St Anthony Heritage Family Medicine 6908 E Reno Ave Building 1 Midwest City OK 73110-2128 Ph: (405) 737-6871 |
| NPI Number | 1801190061 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801190061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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