Osu Center For Health Sciences
Clinic/Center in Tulsa, OK. Organization (NPI-2).
NPI number1558087361
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1558087361
- Entity type
- Organization (NPI-2)
- Legal business name
- Osu Center For Health Sciences
- Organization subpart
- No
- Enumeration date
- Oct 13, 2022
- Certification date
- Oct 6, 2022
- Last updated
- Oct 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Osu-Aj Utica Park Clinic Gastroenterology (Doing Business As)
Practice location
1145 S Utica Ave Ste 701Tulsa, OK 74104-4019
Phone 918-734-4137 · Fax 918-561-5747
Mailing address
1716 S Phoenix AveTulsa, OK 74107-1850
Phone 918-561-8306 · Fax 918-561-5747
Authorized official
Eric John Polak
Vice President Of Admin/Finance
9185618422
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