Organization
SSM HEALTHCARE OF OK, INC
Active
Organization
SSM HEALTHCARE OF OK, INC
Active
Parent organization
SSM HEALTHCARE OF OK, INC
Other names
St Anthony Physicians Internal Medicine Midtown
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OK, INC
Authorized official
CRYSTAL L PENA (INSURANCE CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 4106, OKLAHOMA CITY, OK 73102-1068
(405) 272-5433
(405) 272-5435
Mailing address
608 NW 9TH ST, SUITE 4106, OKLAHOMA CITY, OK 73102-1068
(405) 272-5433
(405) 272-5435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27025
OK
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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