| Osu-aj Osu Medicine Mannford | |
|
500 Cimarron Dr Mannford OK 74044-9504 | |
| (918) 561-8306 | |
| (918) 561-5747 |
| Full Name | Osu-aj Osu Medicine Mannford |
|---|---|
| Speciality | Clinic/center |
| Location | 500 Cimarron Dr, Mannford, 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 |
|---|---|
| Osu-aj Osu Medicine Mannford 2345 Southwest Blvd Tulsa OK 74107-2705 Ph: (918) 561-8306 | Osu-aj Osu Medicine Mannford 500 Cimarron Dr Mannford OK 74044-9504 Ph: (918) 561-8306 |
| NPI Number | 1528676657 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528676657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
R. Michael Eimen, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Cimarron Dr, Mannford, OK 74044 Phone: 918-865-5000 Fax: 918-865-5050 |