Saints Medical Group, LLC

NPI #1043852940 in Purcell, Oklahoma

Provider Information

NPI Number: 1043852940
Entity Type: Organization
Organization Name: Saints Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SSM HEALTH CARE OF OKLAHOMA, INC
Primary Specialty: Family Medicine
Enumeration Date: Oct 11, 2019
Last Updated: Oct 11, 2019

Practice Location

Address: 1401 N 4TH AVE STE 107
City: Purcell
State: Oklahoma
ZIP Code: 73080-1806
Phone: (405) 527-5400

Authorized Official

Name: CRYSTAL L PENA
Title: PROVIDER ENROLLMENT/INS CREDENTIAL
Phone: (405) 272-7452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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