Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SAINTS MEDICAL GROUP, LLC
Other names
Saints Pediatric Assoicates
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
608 NW 9TH ST, 3000, OKLAHOMA CITY, OK 73102-1068
(405) 272-7337
(405) 231-3059
Mailing address
PO BOX 268851, OKLAHOMA CITY, OK 73126-8851
(405) 272-7337
(405) 231-3059
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094240D
—
OK
Enumeration date
06/13/2007
Last updated
01/06/2009
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