Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Neurology
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
800 N W 9TH STREET, SUITE 100, OKLAHOMA CITY, OK 73106-0000
(405) 815-5050
(405) 815-5051
Mailing address
800 N W 9TH STREET, SUITE 100, OKLAHOMA CITY, OK 73106-7248
(405) 815-5050
(405) 815-5051
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/17/2019
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