Organization
SSM HEALTHCARE OF OK, INC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
St Anthony Physicians-Family Medicine South
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
13500 S TULSA DRIVE, OKLAHOMA CITY, OK 73170
(405) 815-5600
(405) 272-7937
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
12/29/2011
Last updated
12/29/2011
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