Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group Pauls Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT)
(405) 272-7452
Entity
Organization
Contact information
Practice address
105 N INDIAN MERIDIAN RD, PAULS VALLEY, OK 73075-9236
(405) 207-9800
(405) 207-9898
Mailing address
105 N INDIAN MERIDIAN RD, PAULS VALLEY, OK 73075-9236
(405) 207-9800
(405) 207-9898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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