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Organization
SAINTS MEDICAL GROUP, LLC
Active
Organization
SAINTS MEDICAL GROUP, LLC
Active
Other names
SSM Health Okemah
Organization subpart
No
Provider details
NPI number
Authorized official
SHASTA RENE MANUEL (VICE PRESIDENT - FINANCE)
(405) 272-7282
Entity
Organization
Contact information
Practice address
519 S WOODY GUTHRIE ST, OKEMAH, OK 74859-4645
(918) 623-9309
(918) 623-9318
Mailing address
519 S WOODY GUTHRIE ST, OKEMAH, OK 74859-4645
(918) 623-9309
(918) 623-9318
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
—
—
Other
Enumeration date
02/08/2021
Last updated
03/27/2024
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