Organization
SSM HEALTHCARE OF OK, INC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
St Anthony Interventional Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
MS. CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
1000 N LEE AVE, 4TH FLOOR, OKLAHOMA CITY, OK 73102-1036
(405) 272-7699
(405) 272-6662
Mailing address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4760
(405) 562-9242
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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