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Organization
OKLAHOMA STATE UNIVERSITY
Active
Organization
OKLAHOMA STATE UNIVERSITY
Active
Other names
OSU Physicians South Tulsa OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHN POLAK (VP)
(918) 561-8422
Entity
Organization
Contact information
Practice address
6126 E 61ST ST, TULSA, OK 74136-2117
(918) 294-3430
(918) 294-3910
Mailing address
5310 E 31ST ST STE 13, TULSA, OK 74135-5013
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
10/28/2024
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