Organization
SAINTS MEDICAL GROUP, LLC
Active
Other names
Saints Dermatology Center of Excellence Mustang
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
1440 N MUSTANG ROAD, MUSTANG, OK 73064-7214
(405) 280-7546
(405) 772-8674
Mailing address
1440 N MUSTANG ROAD, MUSTANG, OK 73064-7214
(405) 280-7546
(405) 772-8674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
OK
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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