Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ SOUTHWEST ORTHOPAEDIC SPECIALISTS-SPINE,PAIN,WELLNESS INST.
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
401 SW 80TH ST., BUILDING D., SUITE 200, OKLAHOMA CITY, OK 73139-8603
(918) 561-8306
(918) 561-5747
Mailing address
700 N. GREENWOOD AVE., NORTH HALL RM. 372, TULSA, OK 74106-0702
(918) 561-8306
(918) 561-5747
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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