Organization
ST ANTHONY PHYSICIANS GASTROENTEROLOGY MOB
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
535 NW 9TH ST, SUITE 325, OKLAHOMA CITY, OK 73102-1070
(405) 601-6630
(405) 601-6617
Mailing address
535 NW 9TH ST, SUITE 325, OKLAHOMA CITY, OK 73102-1070
(405) 601-6630
(405) 601-6617
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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