Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ OSU MEDICAL GROUP MIDTOWN
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
4415 S HARVARD AVE STE 125, TULSA, OK 74135-9700
(918) 561-8306
(918) 561-5747
Mailing address
1716 S PHOENIX AVE, TULSA, OK 74107-1850
(918) 561-8306
(918) 561-5747
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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