Organization
SAINTS MEDICAL GROUP, LLC
Active
Other names
Saints Wewoka Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KATY BAIN (CLIENT ACCOUNT REPRESENTATIVE)
(405) 231-3817
Entity
Organization
Contact information
Practice address
1509 S INDIAN RD, WEWOKA, OK 74884-9781
(405) 257-6272
(405) 257-6273
Mailing address
PO BOX 248865, OKLAHOMA CITY, OK 73124-8865
(405) 257-6272
(405) 257-6273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2762
OK
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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