Organization
SAINT MEDICAL GROUP, LLC
Active
Parent organization
SSM HEALTH CARE OF OKLAHOMA, INC.
Other names
SSM Health Choctaw Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE OF OKLAHOMA, INC.
Authorized official
CRYSTAL L PENA (PROVIDER ENROLLMENT)
(405) 272-7452
Entity
Organization
Contact information
Practice address
15679 NE 23RD ST, CHOCTAW, OK 73020-8592
(405) 390-9600
(405) 390-9400
Mailing address
15679 NE 23RD ST, CHOCTAW, OK 73020-8592
(405) 390-9600
(405) 390-9400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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