Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ YOUNG PEOPLES CLINIC, PC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC POLAK (CFO OSU PHYSICIANS)
(918) 561-8422
Entity
Organization
Contact information
Practice address
715 W MAIN ST STE S, JENKS, OK 74037-3553
(918) 561-8306
(918) 561-5747
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8306
(918) 561-5747
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
07/10/2020
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