Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ OKLAHOMA SURGICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC POLAK (CFO OSU PHYSICIANS)
(918) 561-8422
Entity
Organization
Contact information
Practice address
535 NW 9TH ST, SUIT 330, OKLAHOMA CITY, OK 73102-1070
(405) 232-4211
(405) 232-3767
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8306
(918) 561-5747
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/02/2016
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