Saints Medical Group LLC

NPI #1770845729 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1770845729
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: Jun 14, 2012
Last Updated: Jun 14, 2012

Practice Location

Address: 13128 N MACARTHUR BLVD
City: Oklahoma City
State: Oklahoma
ZIP Code: 73142-3017
Phone: (405) 272-7044

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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