Organization
SSM HEALTHCARE OF OK, INC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
Internal Medicine Downtown
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 6200, OKLAHOMA CITY, OK 73102-1068
(405) 272-7677
(405) 231-3783
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 272-7677
(405) 231-3783
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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