Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ SMC CARDIOLOGY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC POLAK (VICE PRESIDENT FOR ADMIN/FINANCE)
(918) 561-8422
Entity
Organization
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(918) 561-8306
(918) 561-5747
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8306
(918) 561-5747
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
02/26/2020
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