Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SAINTS MEDICAL GROUP, LLC
Other names
Saints at Shepherd Mall
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINTS MEDICAL GROUP, LLC
Authorized official
SYNOVIA F BAIN (CLIENT ACCOUNT ADMINISTRATOR)
(405) 231-3824
Entity
Organization
Contact information
Practice address
2401 SW 23RD ST, SUITE 101, OKLAHOMA CITY, OK 73108
(405) 948-6300
(405) 948-6301
Mailing address
PO BOX 268960, OKLAHOMA CITY, OK 73126-8960
(405) 231-3857
(405) 942-7743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/01/2007
Last updated
08/08/2007
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