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Organization

SAINTS MEDICAL GROUP, LLC

Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
SSM Health Care of Oklahoma, Inc
Organization subpart
Yes

Provider details

NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization

Contact information

Practice address
608 NW 9TH ST, SUITE 5000, OKLAHOMA CITY, OK 73102-1068
(405) 772-4400
(405) 772-4401
Mailing address
608 NW 9TH ST, SUITE 5000, OKLAHOMA CITY, OK 73102-1068
(405) 772-4400
(405) 772-4401

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician
213E00000X
Podiatrist
261Q00000X
Clinic/Center

Other

Enumeration date
10/13/2016
Last updated
04/13/2022
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