Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTHCARE OF OKLAHOMA, INC
Other names
St Anthony General Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
535 NW 9TH ST, SUITE 330, OKLAHOMA CITY, OK 73102-1070
(405) 232-4211
(405) 232-3767
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 232-4211
(405) 232-3767
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
03/25/2019
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