Organization
SAINTS MEDICAL GROUP, LLC
Active
Organization
SAINTS MEDICAL GROUP, LLC
Active
Other names
St Anthony Physicians Healthplex East Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
3400 S DOUGLAS BLVD STE 305, OKLAHOMA CITY, OK 73150-1018
(405) 272-2870
(405) 772-8626
Mailing address
3400 S DOUGLAS BLVD STE 305, OKLAHOMA CITY, OK 73150-1018
(405) 272-2870
(405) 772-8626
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
OK
207RC0000X
Cardiovascular Disease Physician
Primary
—
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
OK
2084N0400X
Neurology Physician
—
OK
208VP0014X
Interventional Pain Medicine Physician
—
OK
Other
Enumeration date
10/09/2017
Last updated
03/25/2019
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