Organization
SSM HEALTHCARE OF OK, INC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
St Anthony Family Medicine South
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
MS. CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
8241 S WALKER AVE, SUITE 100, OKLAHOMA CITY, OK 73139-9401
(405) 632-6025
(405) 632-4506
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 272-7452
(405) 272-7937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/16/2011
Last updated
07/08/2011
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