Organization
SAINTS MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
Saints Family Medicine MWC
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
10002 SE 15TH ST, MIDWEST CITY, OK 73130-5626
(405) 732-2299
(405) 732-0899
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 732-2299
(405) 732-0899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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