# SAINT MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Anthony Physicians Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548761513
- **Authorized official:** CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 608 NW 9TH ST STE 5000, OKLAHOMA CITY, OK 73102-1018
- **Practice address phone:** (405) 772-4533
- **Practice address fax:** (405) 772-4539
- **Mailing address:** 608 NW 9TH ST STE 5000, OKLAHOMA CITY, OK 73102-1018
- **Mailing address phone:** (405) 772-4533
- **Mailing address fax:** (405) 772-4539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | OK | Yes |

## Other

- **Enumeration date:** 02/26/2018
- **Last updated:** 02/26/2018