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Organization

ST ANTHONY PHYSICIANS THYROID CENTER

Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
SSM Health Care of Oklahoma, Inc
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
13401 N WESTERN AVE, SUITE 407, OKLAHOMA CITY, OK 73114-1408
(405) 252-3494
(405) 252-3498
Mailing address
13401 N WESTERN AVE, SUITE 407, OKLAHOMA CITY, OK 73114-1408
(405) 252-3494
(405) 252-3498

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Enumeration date
12/01/2015
Last updated
12/01/2015
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