Organization
SSM HEALTH CARE OF OKLAHOMA INC
Active
Other names
SSM Health St Anthony Hospital MWC Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT)
(405) 272-7452
Entity
Organization
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 610-4411
Mailing address
7106 SOLUTIONS CTR, CHICAGO, IL 60677-7001
(855) 989-6789
(314) 344-7281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Enumeration date
11/30/2021
Last updated
11/01/2023
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