Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Medical Group Healthy Living
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
11501 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2732
(405) 578-3380
(405) 578-3382
Mailing address
11501 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2732
(405) 578-3380
(405) 578-3382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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