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Organization
SAINTS MEDICAL GROUP, LLC
Active
Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
SSM Health Medical Group Crossways
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
CRYSTAL L PENA (PROVIDER CREDENTIALING COORDINATOR)
(405) 272-7452
Entity
Organization
Contact information
Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
(405) 418-5401
Mailing address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
(405) 418-5401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/11/2020
Last updated
01/11/2020
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