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Organization
SAINT MEDICAL GROUP, LLC
Active
Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group Sleep Disorders
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT/CREDENTIALING)
(405) 272-7452
Entity
Organization
Contact information
Practice address
608 NW 9TH ST STE 5010, OKLAHOMA CITY, OK 73102-1058
(405) 815-5680
(405) 815-5685
Mailing address
608 NW 9TH ST STE 5010, OKLAHOMA CITY, OK 73102-1058
(405) 815-5680
(405) 815-5685
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
NULL
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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