Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
SSM Health Medical Group ARIC Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
3400 S DOUGLAS BLVD STE 307, OKLAHOMA CITY, OK 73150-1001
(405) 218-2582
(405) 218-2587
Mailing address
3400 S DOUGLAS BLVD STE 307, OKLAHOMA CITY, OK 73150-1001
(405) 218-2582
(405) 218-2587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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