Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Other names
St Anthony Cancer Specialist of Oklahoma @ Shawnee, St Anthony Cancer Specialists of Oklahoma @ Shawnee
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (AUTHORIZED OFFICIAL)
(405) 272-7452
Entity
Organization
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 942-4000
(405) 942-9204
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
06/16/2018
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