Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group Seminole Specialty Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
2403 W WRANGLER BLVD, SEMINOLE, OK 74868-1900
(405) 732-7020
(405) 732-7839
Mailing address
2403 W WRANGLER BLVD, SEMINOLE, OK 74868-1900
(405) 732-7020
(405) 732-7839
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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