Organization
SSM HEALTH CARE OF OKLAHOMA INC
Active
Other names
St Anthony Physicians Health Plex East Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
3400 S DOUGLAS BLVD STE 305, OKLAHOMA CITY, OK 73150-1018
(405) 272-2870
Mailing address
3400 S DOUGLAS BLVD STE 305, OKLAHOMA CITY, OK 73150-1018
(405) 272-2870
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
OK
207RC0000X
Cardiovascular Disease Physician
Primary
—
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
OK
207RH0003X
Hematology & Oncology Physician
—
OK
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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