Organization
OSU COLLEGE HEALTH SCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON BAKER D.O. (CHIEF MEDICAL OFFICER)
(918) 382-5064
Entity
Organization
Contact information
Practice address
635 W 11TH ST, TULSA, OK 74127-9014
(918) 382-5064
Mailing address
635 W 11TH ST, TULSA, OK 74127-9014
(918) 382-5064
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4629
OK
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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