Organization
ST ANTHONY PHYSICIANS ALLERGY
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
Saints Medical Group, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
6205 N SANTA FE AVE, SUITE 105, OKLAHOMA CITY, OK 73118-7537
(405) 772-4390
(405) 772-4399
Mailing address
6205 N SANTA FE AVE, SUITE 105, OKLAHOMA CITY, OK 73118-7537
(405) 772-4390
(405) 772-4399
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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