Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ MMG PHYSICAL MEDICINEAND REHABILITATION
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
3201 W GORE BLVD STE 104, LAWTON, OK 73505-6350
(918) 561-8306
(918) 280-1918
Mailing address
1716 S PHOENIX AVE, TULSA, OK 74107-1850
(918) 561-8306
(918) 280-1918
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up