# ST ANTHONY PHYSICIANS THYROID CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH CARE OF OKLAHOMA, INC
- **Other names:** SSM Health Care of Oklahoma, Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356716435
- **Legal business name:** SSM HEALTH CARE OF OKLAHOMA, INC
- **Authorized official:** CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 13401 N WESTERN AVE, SUITE 407, OKLAHOMA CITY, OK 73114-1408
- **Practice address phone:** (405) 252-3494
- **Practice address fax:** (405) 252-3498
- **Mailing address:** 13401 N WESTERN AVE, SUITE 407, OKLAHOMA CITY, OK 73114-1408
- **Mailing address phone:** (405) 252-3494
- **Mailing address fax:** (405) 252-3498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 12/01/2015
