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Organization
SAINTS MEDICAL GROUP, LLC
Active
Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTHCARE OF OKLAHOMA INC
Other names
Saints Physicians North
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OKLAHOMA INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
6201 N SANTA FE AVE, 2010, OKLAHOMA CITY, OK 73118-7538
(405) 272-5555
(405) 272-5517
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 272-5555
(405) 272-5517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
03/25/2019
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