Organization
OSU MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KEITH MILES DO (INTERN)
(918) 261-5732
Entity
Organization
Contact information
Practice address
18702 S 4200 RD, CLAREMORE, OK 74017-3581
(918) 261-5732
Mailing address
18702 S 4200 RD, CLAREMORE, OK 74017-3581
(918) 261-5732
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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