Saints Medical Group, LLC

NPI #1720325533 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1720325533
Entity Type: Organization
Organization Name: Saints Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SSM HEALTHCARE OF OK, INC
Primary Specialty: Dermatology
Enumeration Date: Jan 14, 2013
Last Updated: Jan 14, 2013

Practice Location

Address: 9720 BROADWAY EXTENSION
City: Oklahoma City
State: Oklahoma
ZIP Code: 73114
Phone: (405) 280-7546

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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