| Saint Medical Group, Llc | |
|
416 W 15th St Edmond OK 73013-3747 | |
| (405) 513-8535 | |
| Not Available |
| Full Name | Saint Medical Group, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 416 W 15th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Crystal L Pena (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4052727452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Medical Group, Llc 416 W 15th St Edmond OK 73013-3747 Ph: (405) 513-8535 | Saint Medical Group, Llc 416 W 15th St Edmond OK 73013-3747 Ph: (405) 513-8535 |
| NPI Number | 1023699956 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023699956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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