Organization
SSM HEALTHCARE OF OKLAHOMA, INC
Active
Parent organization
SSM HEALTHCARE OF OKLAHOMA, INC
Other names
St Anthony Pulmonary
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTHCARE OF OKLAHOMA, INC
Authorized official
CRYSTAL L PENA (CREDENTIALING SPECIALIST)
(405) 272-7452
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 3110, OKLAHOMA CITY, OK 73102-1068
(405) 272-8338
(405) 272-6030
Mailing address
PO BOX 269064, OKLAHOMA CITY, OK 73126-9064
(405) 272-7452
(405) 272-7937
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
07/07/2011
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