Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health CSOO RAD THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALISTG)
(405) 272-7452
Entity
Organization
Contact information
Practice address
3525 NW 56TH ST, OKLAHOMA CITY, OK 73112-4550
(405) 917-3434
(405) 917-3430
Mailing address
3525 NW 56TH ST, OKLAHOMA CITY, OK 73112-4550
(405) 917-3434
(405) 917-3430
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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