Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Other names
St Anthony Physicians Telepsychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
333 CENTRAL PARK W, SUITE 36, NEW YORK, NY 10025-7145
(405) 231-8866
(405) 272-8599
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
30382
OK
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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