Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
St Anthony Physicians Psychology at Family Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 1100, OKLAHOMA CITY, OK 73102-1068
(405) 231-3000
(405) 231-3073
Mailing address
608 NW 9TH ST, SUITE 1100, OKLAHOMA CITY, OK 73102-1068
(405) 231-3000
(405) 231-3073
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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