Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Cardiovascular Care Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT)
(405) 272-7452
Entity
Organization
Contact information
Practice address
8121 NATIONAL AVE STE 400, MIDWEST CITY, OK 73110-7572
(405) 733-9500
(405) 732-1060
Mailing address
8121 NATIONAL AVE STE 400, MIDWEST CITY, OK 73110-7572
(405) 733-9500
(405) 732-1060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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