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Organization

SAINTS MEDICAL GROUP, LLC

Active
Other names
St Anthony Physicians Ear, Nose, & Throat
Organization subpart
No

Provider details

NPI number
Authorized official
SHASTA RENE MANUEL (VICE PRESIDENT - FINANCE)
(405) 272-7282
Entity
Organization

Contact information

Practice address
535 NW 9TH ST, SUITE 300, OKLAHOMA CITY, OK 73102-1070
(405) 272-6027
(405) 272-8311
Mailing address
535 NW 9TH ST STE 300, OKLAHOMA CITY, OK 73102-1073
(405) 272-6027
(405) 272-8311

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
02/20/2017
Last updated
08/22/2024
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