Organization
SAINTS MEDICAL GROUP
Active
Other names
Saints On Site at American Fidelity
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
9000 CAMERON PKWY STE 105, OKLAHOMA CITY, OK 73114-3701
(405) 416-8505
(405) 286-3136
Mailing address
777 NW 63RD ST FL 4, OKLAHOMA CITY, OK 73116-7601
(405) 416-8505
(405) 286-3136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
12/16/2020
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