Organization
STATE OF OKLAHOMA OSU CENTER FOR HEALTH SCIENCES COLLEGE OF OSTEOPATHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC POLAK (AUTHORIZED OFFICIAL)
(918) 561-8395
Entity
Organization
Contact information
Practice address
3800 W 71ST ST, TULSA, OK 74132-2117
(918) 388-4708
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8395
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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