Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group Healthplex East Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
3400 S DOUGLAS BLVD STE 307A, OKLAHOMA CITY, OK 73150-1001
(405) 218-2582
(405) 218-2587
Mailing address
3400 S DOUGLAS BLVD STE 307A, OKLAHOMA CITY, OK 73150-1001
(405) 218-2582
(405) 218-2587
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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