Ssm Healthcare of Ok, INC
NPI #1154681450 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1154681450
- 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
- Internal Medicine - Nephrology
- Enumeration Date
- May 21, 2012
- Last Updated
- May 21, 2012
Practice Location
- Address
- 810 NW 10TH ST
- Address 2
- SUITE A
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73106-7215
- Phone
- (405) 272-8367
Authorized Official
- Name
- CRYSTAL L PENA
- Title
- INSURANCE CREDENTIALING SPECIALIST
- Phone
- (405) 272-7452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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