Organization
SAINTS MEDICAL GROUP
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
Saints Dermatology Enid
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
MS. CRYSTAL L PENA (CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
330 S 5TH ST, SUITE 400, ENID, OK 73701-5825
(580) 242-2386
(580) 233-5312
Mailing address
330 S 5TH ST, SUITE 400, ENID, OK 73701-5825
(580) 242-2386
(580) 233-5312
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
07/29/2011
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