# OSU MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396978854
- **Authorized official:** JAMES WAGNER DO (OB/GYN)
- **Authorized official phone:** (605) 660-1451

## Contact information

- **Practice address:** 2909 S PEORIA AVE, TULSA, OK 74114-5317
- **Practice address phone:** (605) 660-1451
- **Mailing address:** 2909 S PEORIA AVE, TULSA, OK 74114-5317
- **Mailing address phone:** (605) 660-1451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NW0100X | Women's Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 09/01/2009