Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health American Fidelity at Work
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT COORDINATOR)
(405) 272-7452
Entity
Organization
Contact information
Practice address
2000 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6016
(405) 523-5034
Mailing address
2000 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6016
(405) 523-5034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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