# ST ANTHONY PHYSICIANS ALLERGY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTH CARE OF OKLAHOMA, INC
- **Other names:** Saints Medical Group, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639612518
- **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:** 6205 N SANTA FE AVE, SUITE 105, OKLAHOMA CITY, OK 73118-7537
- **Practice address phone:** (405) 772-4390
- **Practice address fax:** (405) 772-4399
- **Mailing address:** 6205 N SANTA FE AVE, SUITE 105, OKLAHOMA CITY, OK 73118-7537
- **Mailing address phone:** (405) 772-4390
- **Mailing address fax:** (405) 772-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 11/28/2016