Saint Medical Group, LLC

NPI #1982351979 in Choctaw, Oklahoma

Provider Information

NPI Number: 1982351979
Entity Type: Organization
Organization Name: Saint Medical Group, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SSM HEALTH CARE OF OKLAHOMA, INC.
Primary Specialty: Family Medicine
Enumeration Date: Mar 9, 2022
Last Updated: Mar 9, 2022

Practice Location

Address: 15679 NE 23RD ST
City: Choctaw
State: Oklahoma
ZIP Code: 73020-8592
Phone: (405) 390-9600

Authorized Official

Name: CRYSTAL L PENA
Title: PROVIDER ENROLLMENT
Phone: (405) 272-7452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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