Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group Womens Health East
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT CO-ORDINATOR)
(405) 272-7452
Entity
Organization
Contact information
Practice address
5612 S E 67TH STREET, OKLAHOMA CITY, OK 73135
(405) 772-4750
(405) 772-4755
Mailing address
5612 SE 67TH ST, OKLAHOMA CITY, OK 73135
(405) 772-4750
(405) 772-4755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
08/11/2021
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