Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group On Demand
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER COORDINATOR)
(405) 272-7452
Entity
Organization
Contact information
Practice address
30 RONNIES PLZ, SAPPINGTON, MO 63126-3552
(314) 989-6807
(314) 989-6608
Mailing address
30 RONNIES PLZ, SAPPINGTON, MO 63126-3552
(314) 989-6807
(314) 989-6608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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