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Organization

SAINT MEDICAL GROUP, LLC

Active
Other names
St Anthony Physicians Urology
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization

Contact information

Practice address
608 NW 9TH ST STE 5000, OKLAHOMA CITY, OK 73102-1018
(405) 772-4533
(405) 772-4539
Mailing address
608 NW 9TH ST STE 5000, OKLAHOMA CITY, OK 73102-1018
(405) 772-4533
(405) 772-4539

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OK

Other

Enumeration date
02/26/2018
Last updated
02/26/2018
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