Organization
OSU CENTER FOR HEALTH SCIENCES
Active
Other names
OSU-AJ JULIE L. WILEY, D.O., PLLC.
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
10400 S WESTERN AVE STE 7, OKLAHOMA CITY, OK 73139-3017
(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
07/07/2021
Last updated
07/07/2021
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