# OSU CENTER FOR HEALTH SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSU-AJ SOUTHWEST ORTHOPAEDIC SPECIALISTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568793412
- **Authorized official:** ERIC POLAK (VICE PRESIDENT FOR ADMIN/FINANCE)
- **Authorized official phone:** (918) 561-8422

## Contact information

- **Practice address:** 8100 S WALKER AVE, BLDG A, OKLAHOMA CITY, OK 73139-9402
- **Practice address phone:** (918) 561-8306
- **Practice address fax:** (918) 561-5747
- **Mailing address:** 2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
- **Mailing address phone:** (918) 561-9306
- **Mailing address fax:** (918) 561-5747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 03/28/2016
