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Organization

OSU CENTER FOR HEALTH SCIENCES

Active
Other names
OSU-AJ OSU MEDICINE SOUTH TULSA
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC JOHN POLAK (VICE PRESIDENT FOR ADMIN/FINANCE)
(918) 561-8422
Entity
Organization

Contact information

Practice address
9101 S TOLEDO AVE STE B, TULSA, OK 74137-2719
(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
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
11/02/2017
Last updated
11/02/2017
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