# SSM HEALTHCARE OF OK, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SSM HEALTHCARE OF OK, INC
- **Other names:** St Anthony Physicians - Endocrinology Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720334675
- **Legal business name:** SSM HEALTHCARE OF OK, INC
- **Authorized official:** CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
- **Authorized official phone:** (405) 272-7452

## Contact information

- **Practice address:** 608 NW 9TH ST, SUITE 5000, OKLAHOMA CITY, OK 73102-1068
- **Practice address phone:** (405) 231-8740
- **Mailing address:** 608 NW 9TH ST, SUITE 5000, OKLAHOMA CITY, OK 73102-1068
- **Mailing address phone:** (405) 231-8740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2012
- **Last updated:** 07/30/2012