NPI 1093013948

Saints Medical Group

Organisation Dermatology Physician Enid, OK

Practice location

Address: 330 S 5th St Suite 400, Enid, OK 73701-5825
Phone: (580) 242-2386
Fax: (580) 233-5312

Authorised official

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

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Oklahoma →

Registry record

NPI: 1093013948
Entity type: Organization
NPI issued: 2 Mar 2011
Record last updated: 29 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.