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Organization

SAINTS MEDICAL GROUP, LLC

Active
Parent organization
SAINTS MEDICAL GROUP, LLC
Other names
Oklahoma Saints Neurology
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAINTS MEDICAL GROUP, LLC
Authorized official
SYNOVIA F BAIN (CLIENT ACCOUNT ADMINISTRATOR)
(405) 231-3824
Entity
Organization

Contact information

Practice address
535 NW 9TH ST, STE 235, OKLAHOMA CITY, OK 73102-1070
(405) 272-6877
(405) 272-6878
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 231-3857
(405) 272-7977

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200094240X
OK
Enumeration date
09/19/2007
Last updated
04/14/2014
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