Osu-aj Osu Medicine South Tulsa | |
9101 S Toledo Ave Ste B Tulsa OK 74137-2719 | |
(918) 561-8306 | |
(918) 561-5747 |
Full Name | Osu-aj Osu Medicine South Tulsa |
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Speciality | Clinic/center |
Location | 9101 S Toledo Ave Ste B, Tulsa, Oklahoma |
Authorized Official Name and Position | Eric John Polak (VICE PRESIDENT FOR ADMIN/FINANCE) |
Authorized Official Contact | 9185618422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Osu-aj Osu Medicine South Tulsa 2345 Southwest Blvd Tulsa OK 74107-2705 Ph: (918) 561-8306 | Osu-aj Osu Medicine South Tulsa 9101 S Toledo Ave Ste B Tulsa OK 74137-2719 Ph: (918) 561-8306 |
NPI Number | 1770095572 |
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Provider Enumeration Date | 11/02/2017 |
Last Update Date | 11/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770095572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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