Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
Saints Dermatology Center of Excellence
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
9720 BROADWAY EXTENSION, OKLAHOMA CITY, OK 73114
(405) 280-7546
(405) 737-5901
Mailing address
9720 BROADWAY EXTENSION, OKLAHOMA CITY, OK 73114
(405) 280-7546
(405) 737-5901
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22879
OK
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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