Organization
SAINTS MEDICAL GROUP LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
St Anthony Physicians Vascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 5010, OKLAHOMA CITY, OK 73102-1068
(405) 608-3800
(405) 608-3838
Mailing address
PO BOX 268986, OKLAHOMA CITY, OK 73126-8986
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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