| Saint Medical Group, Llc | |
|
15679 Ne 23rd St Choctaw OK 73020-8592 | |
| (405) 390-9600 | |
| (405) 390-9400 |
| Full Name | Saint Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15679 Ne 23rd St, Choctaw, Oklahoma |
| Authorized Official Name and Position | Crystal L Pena (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 4052727452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Medical Group, Llc 15679 Ne 23rd St Choctaw OK 73020-8592 Ph: (405) 390-9600 | Saint Medical Group, Llc 15679 Ne 23rd St Choctaw OK 73020-8592 Ph: (405) 390-9600 |
| NPI Number | 1982351979 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982351979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Choctaw Family Medicine & Aesthetics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15809 Ne 23rd St, Choctaw, OK 73020 Phone: 405-390-9600 Fax: 405-390-9400 | |
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