Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ ELITE HOSPITAL PARTNERS OF OK.
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHN POLAK (VICE PRESIDENT OF ADMIN/FINANCE)
(918) 561-8422
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(918) 561-8306
(918) 280-1917
Mailing address
700 N GREENWOOD AVE RM 372, TULSA, OK 74106-0702
(918) 561-8306
(918) 280-1917
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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