Organization · Type 2 NPI

Saints Medical Group

Dermatology Physician · Midwest City, OK

NPI number 1780970186 Active

Practice location

9020 E Reno Ave, Suite 100
Midwest City, OK 73130-3336

Fax (405) 737-5901

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	None listed
Family Medicine Physician	207Q00000X	None listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

5 other providers at this address

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NPI record

NPI: 1780970186
Entity type: Organization (Type 2)
Issued: Jun 23, 2011
Last updated: Jul 29, 2011
Status: Active
Subpart: Yes of SSM Healthcare of Ok, Inc

Other names

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Saints Dermatology Midwest City · doing business as

Authorized official

Crystal L Pena
Insurance Credentialing Specialist
(405) 272-7452

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780970186

Saints Medical Group's National Provider Identifier is 1780970186, issued on Jun 23, 2011. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Midwest City, OK. The record was last updated on Jul 29, 2011.