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Organization
OSU MEDICAL CENTER
Active
Organization
OSU MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WAGNER DO (OB/GYN)
(605) 660-1451
Entity
Organization
Contact information
Practice address
2909 S PEORIA AVE, TULSA, OK 74114-5317
(605) 660-1451
Mailing address
2909 S PEORIA AVE, TULSA, OK 74114-5317
(605) 660-1451
Taxonomy
Speciality
Code
Description
License number
State
282NW0100X
Women's Hospital
Primary
—
NULL
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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