Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
St Anthony Physicians Breast Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
535 NW 9TH ST, SUITE 100, OKLAHOMA CITY, OK 73102-1070
(405) 272-4226
(405) 272-8407
Mailing address
535 NW 9TH ST, SUITE 100, OKLAHOMA CITY, OK 73102-1070
(405) 272-4226
(405) 272-8407
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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