Organization
SAINT MEDICAL GROUP, LLC
Active
Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC
Other names
St Anthony Physicians Pulmonary & 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
6205 N SANTA FE AVE, SUITE 201, OKLAHOMA CITY, OK 73118-7537
(405) 272-8338
(405) 272-6030
Mailing address
6205 N SANTA FE AVE, SUITE 201, OKLAHOMA CITY, OK 73118-7537
(405) 272-8338
(405) 272-6030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
03/25/2019
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