| Saint Medical Group, Llc | |
|
2000 N Classen Blvd Oklahoma City OK 73106-6016 | |
| (405) 523-5034 | |
| Not Available |
| Full Name | Saint Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 N Classen Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Crystal L Pena (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 4052727452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Medical Group, Llc 2000 N Classen Blvd Oklahoma City OK 73106-6016 Ph: (405) 523-5034 | Saint Medical Group, Llc 2000 N Classen Blvd Oklahoma City OK 73106-6016 Ph: (405) 523-5034 |
| NPI Number | 1306432695 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306432695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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