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Organization
SAINTS MEDICAL GROUP, LLC
Active
Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
SSM Health Medical Group Purcell
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT/INS CREDENTIAL)
(405) 272-7452
Entity
Organization
Contact information
Practice address
1401 N 4TH AVE STE 107, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Mailing address
1401 N 4TH AVE STE 107, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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