Organization
SSM HEALTH CARE OF OKLAHOMA INC
Active
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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