Organization
SSM HEALTHCARE OF OKLAHOMA, INC
Active
Other names
St Anthony Cancer Specialists of Oklahoma @ Edmond
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
9 N BRYANT AVE, EDMOND, OK 73034-6307
(405) 285-4011
(405) 285-0096
Mailing address
9 N BRYANT AVE, EDMOND, OK 73034-6307
(405) 285-4011
(405) 285-0096
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
OK
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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