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Organization
SAINTS MEDICAL GROUP, LLC
Active
Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SAINTS MEDICAL GROUP, LLC
Other names
Saints Metro Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINTS MEDICAL GROUP, LLC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
100 W MAIN ST, SUITE 200, OKLAHOMA CITY, OK 73102-9024
(405) 815-5060
(405) 815-5065
Mailing address
PO BOX 268966, OKLAHOMA CITY, OK 73126-8966
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/22/2007
Last updated
03/04/2016
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