| Osu-aj Physicians Clinic | |
|
1401 W Locust St Ste 102 Stilwell OK 74960-3276 | |
| (918) 561-8306 | |
| (918) 561-5747 |
| Full Name | Osu-aj Physicians Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1401 W Locust St Ste 102, Stilwell, Oklahoma |
| Authorized Official Name and Position | Eric John Polak (VICE PRESIDENT OF ADMIN/FINANCE) |
| Authorized Official Contact | 9185618422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu-aj Physicians Clinic 1716 S Phoenix Ave Tulsa OK 74107-1850 Ph: (918) 561-8306 | Osu-aj Physicians Clinic 1401 W Locust St Ste 102 Stilwell OK 74960-3276 Ph: (918) 561-8306 |
| NPI Number | 1063157386 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 07/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063157386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Physicians Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W Locust St, Suite 102, Stilwell, OK 74960 Phone: 918-696-4065 Fax: 918-696-5971 |