NPI 1033408497

SSM Healthcare of Oklahoma, INC

Organisation Vascular Surgery Physician Oklahoma City, OK

Practice location

Address: 608 NW 9th St Suite 5204, Oklahoma City, OK 73102-1068
Phone: (405) 232-2178
Fax: (405) 232-6617
Mailing address: PO Box 269064, Oklahoma City, OK 73126-9064

Authorised official

Name: Crystal L Pena
Title: Credentialing Specialist
Phone: (405) 272-7452

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Other Surgery providers in Oklahoma →

Registry record

NPI: 1033408497
Entity type: Organization
NPI issued: 6 Apr 2011
Record last updated: 7 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.