Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Organization
SSM HEALTH CARE OF OKLAHOMA, INC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
St Anthony East-Heritage Family Medicine
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
3400 S DOUGLAS BLVD, SUITE 301, OKLAHOMA CITY, OK 73150-1001
(405) 231-8888
(405) 231-8885
Mailing address
3400 S DOUGLAS BLVD, SUITE 301, OKLAHOMA CITY, OK 73150-1001
(405) 231-8888
(405) 231-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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