Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ EAR, NOSE, THROAT ALLERGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC POLAK (CFO OSU PHYSICIANS)
(918) 561-8422
Entity
Organization
Contact information
Practice address
1715 N LYNN RIGGS BLVD, SUITE 2, CLAREMORE, OK 74017-3056
(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
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
03/16/2016
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