# SAINT MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTHCARE OF OK, INC
- **Other names:** SSM Health Medical Group ARIC Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295363620
- **Legal business name:** SSM HEALTHCARE OF OK, INC
- **Authorized official:** CRYSTAL L PENA (PROVIDER ENROLLMENT SPECIALIST)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 3400 S DOUGLAS BLVD STE 307, OKLAHOMA CITY, OK 73150-1001
- **Practice address phone:** (405) 218-2582
- **Practice address fax:** (405) 218-2587
- **Mailing address:** 3400 S DOUGLAS BLVD STE 307, OKLAHOMA CITY, OK 73150-1001
- **Mailing address phone:** (405) 218-2582
- **Mailing address fax:** (405) 218-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2020
- **Last updated:** 03/31/2020