NPI 1093395618
Saints Medical Group, LLC
Practice location
- Address
- 3700 N Kickapoo Ave, Shawnee, OK 74804-1707
- Phone
- (405) 273-6383
- Fax
- (405) 273-3748
Authorised official
- Name
- Shasta Rene Manuel
- Title
- Vice President - Finance
- Phone
- (405) 272-7282
Registered specialties (6)
Rural Health Clinic/Center
Primary
Family Medicine Physician
Otolaryngology Physician
Audiologist
Medical Physician Assistant
Family Nurse Practitioner
Registry record
- NPI
- 1093395618
- Entity type
- Organization
- NPI issued
- 8 Apr 2021
- Record last updated
- 27 Mar 2024
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.