Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
NORTH REGIONAL AND WELLNESS CENTER OSU FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC POLAK (CFO OSU PHYSICIANS)
(918) 561-8422
Entity
Organization
Contact information
Practice address
5635 N CINCINNATI AVE, TULSA, OK 74126-2253
(918) 732-4686
(918) 732-4689
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
07/24/2014
Last updated
07/24/2014
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