Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ BAPTIST REGIONAL ASSOCIATED PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM E PENICK (DIRECTOR CLINIC FINANCIAL SERVICES)
(918) 561-8322
Entity
Organization
Contact information
Practice address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 540-7712
(918) 540-7786
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8306
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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