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Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Other names
St Anthony Physicians Telepsychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
333 CENTRAL PARK W, SUITE 36, NEW YORK, NY 10025-7145
(405) 231-8866
(405) 272-8599
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
30382
OK
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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