Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
SSM Health Medical Group Healthplex North
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
13401 N WESTERN AVE, OKLAHOMA CITY, OK 73114-1408
(405) 252-3450
(405) 252-3499
Mailing address
13401 N WESTERN AVE, OKLAHOMA CITY, OK 73114-1408
(405) 252-3450
(405) 252-3499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
01/06/2015
Last updated
04/19/2022
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