Organization
SSM HEALTHCARE OF OKLAHOMA, INC
Active
Parent organization
SSM HEALTHCARE OF OKLAHOMA, INC
Other names
St Anthony Physicians Gastroenterology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 3206, OKLAHOMA CITY, OK 73102-1068
(405) 772-4338
(405) 772-4339
Mailing address
608 NW 9TH ST, SUITE 3206, OKLAHOMA CITY, OK 73102-1068
(405) 772-4338
(405) 772-4339
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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