Saints Medical Group

NPI #1093013948 in Enid, Oklahoma

Provider Information

NPI Number: 1093013948
Entity Type: Organization
Organization Name: Saints Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: SSM HEALTHCARE OF OK, INC
Primary Specialty: Dermatology
Enumeration Date: Mar 2, 2011
Last Updated: Jul 29, 2011

Practice Location

Address: 330 S 5TH ST
Address 2: SUITE 400
City: Enid
State: Oklahoma
ZIP Code: 73701-5825
Phone: (580) 242-2386

Authorized Official

Name: MS. CRYSTAL L PENA
Title: CREDENTIALING SPECIALIST
Phone: (405) 272-7452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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