SSM HEALTHCARE OF OK INC NPI 1154681450

NPI Information

SSM HEALTHCARE OF OK, INC is a nephrology internal medicine in Oklahoma City, OK. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SSM HEALTHCARE OF OK, INC NPI is 1154681450. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Anthony Physicians - Midtown Renal Care.

The provider's business location address is:

810 NW 10TH ST
SUITE A
OKLAHOMA CITY, OK
ZIP 73106-215
Phone: (405) 272-8367
Fax: (405) 272-8373

The provider's authorized official is Crystal L Pena .
The authorized official title is Insurance Credentialing Specialist and has the following contact phone number (405) 272-7452.

The enumeration date for this NPI number is 5/21/2012 and was last updated on 5/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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