Organization
OSU HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PENICK (ASSOCIATE DIRECTOR)
(918) 561-8322
Entity
Organization
Contact information
Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8395
(918) 561-8525
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8395
(918) 561-8525
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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