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Organization

SAINTS MEDICAL GROUP, LLC

Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
SSM Health Endocrine
Organization subpart
Yes

Provider details

NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization

Contact information

Practice address
6205 N SANTA FE AVE STE 200, OKLAHOMA CITY, OK 73118-7536
(405) 231-8740
(405) 231-8714
Mailing address
6205 N SANTA FE AVE STE 200, OKLAHOMA CITY, OK 73118-7536
(405) 231-8740
(405) 231-8714

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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