Organization
SAINTS MEDICAL GROUP, LLC
Active
Other names
O'Neill Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KATY BAIN (CLIENT ACCOUNT REPRESENTATIVE)
(405) 231-3817
Entity
Organization
Contact information
Practice address
1414 ARLINGTON ST, SUITE 2200, ADA, OK 74820-2643
(405) 310-9800
(405) 231-9803
Mailing address
PO BOX 248863, OKLAHOMA CITY, OK 73124-8863
(580) 310-9800
(580) 310-9803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4149
OK
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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