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Organization

SSM HEALTHCARE OF OKLAHOMA, INC

Active
Parent organization
SSM HEALTHCARE OF OKLAHOM, INC
Other names
St Anthony Breast Care Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
SSM HEALTHCARE OF OKLAHOM, INC
Authorized official
CRYSTAL PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7524
Entity
Organization

Contact information

Practice address
535 NW 9TH ST, SUITE 205, OKLAHOMA CITY, OK 73102-1070
(405) 231-2926
(405) 272-4986
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 231-2926
(405) 272-4986

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
02/02/2011
Last updated
07/07/2011
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