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Organization

SAINTS MEDICAL GROUP, LLC

Active
Parent organization
SSM HEALTHCARE OF OKLAHOMA INC
Other names
Saints Physicians North
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
6201 N SANTA FE AVE, 2010, OKLAHOMA CITY, OK 73118-7538
(405) 272-5555
(405) 272-5517
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 272-5555
(405) 272-5517

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100522016
MEDICARE ID
OK
Enumeration date
02/19/2008
Last updated
03/25/2019
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