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Organization

SAINTS MEDICAL GROUP, LLC

Active
Parent organization
SAINTS MEDICAL GROUP, LLC
Other names
Saints Family Health Center Midwest City
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAINTS MEDICAL GROUP, LLC
Authorized official
SYNOVIA FAITH BAIN (CLIENT ACCOUNT ADMINISTRATOR)
(405) 231-3824
Entity
Organization

Contact information

Practice address
9020 E RENO AVE, SUITE 100, MIDWEST CITY, OK 73130-3336
(405) 732-0397
(405) 737-5901
Mailing address
PO BOX 268960, OKLAHOMA CITY, OK 73126-8960
(405) 231-3857
(405) 942-7743

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200094240G
OK
Enumeration date
08/08/2007
Last updated
12/29/2008
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