Organization
OKLAHOMA STATE UNIVERSITY
Active
Other names
OSU Physicians South Tulsa OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JOHN POLAK (VP)
(918) 561-8422
Entity
Organization
Contact information
Practice address
6126 E 61ST ST, TULSA, OK 74136-2117
(918) 294-3430
(918) 294-3910
Mailing address
5310 E 31ST ST STE 13, TULSA, OK 74135-5013
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
10/28/2024
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