Provider Demographics
NPI:1962702290
Name:SSM HEALTHCARE OF OKLAHOMA
Entity type:Organization
Organization Name:SSM HEALTHCARE OF OKLAHOMA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ONCOLOGY CLINIC
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-820-9612
Mailing Address - Street 1:1011 N DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1024
Mailing Address - Country:US
Mailing Address - Phone:405-228-7100
Mailing Address - Fax:405-228-7151
Practice Address - Street 1:1011 N DEWEY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-1024
Practice Address - Country:US
Practice Address - Phone:405-228-7100
Practice Address - Fax:405-228-7151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SSM HEALTHCARE OF OKLAHOMA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty