Organization
ST ANTHONY PHYSICIANS DERMATOLOGY MIDWEST CITY
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
Saints Medical Group, LLC
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
1622 MIDTOWN PLACE, MIDWEST CITY, OK 73130-5266
(405) 280-7546
(405) 772-8674
Mailing address
1622 MIDTOWN PLACE, MIDWEST CITY, OK 73130-5266
(405) 280-7546
(405) 772-8674
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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