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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 CSOO PET/CT
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
3525 NW 56TH ST STE 150C, OKLAHOMA CITY, OK 73112-4516
(405) 942-8300
(405) 942-8194
Mailing address
3525 NW 56TH ST STE 150C, OKLAHOMA CITY, OK 73112-4516
(405) 942-8300
(405) 942-8194
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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