Ssm Healthcare of Ok, INC

NPI #1124300512 in Oklahoma City, Oklahoma

Provider Information

NPI Number
1124300512
Entity Type
Organization
Organization Name
Ssm Healthcare of Ok, INC
Subpart
Yes (part of a larger organization)
Parent Organization
SSM HEALTHCARE OF OK, INC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Sep 13, 2011
Last Updated
Sep 13, 2011

Practice Location

Address
1000 N LEE AVE
Address 2
4TH FLOOR
ZIP Code
73102-1036
Phone
(405) 272-7699

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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