NPI | 1083049001 |
---|---|
Doing Business As | OSU-AJ INTEGRIS GRAND LAKE ENT |
Entity Type | Organization |
Authorized Contact | ERIC POLAK CFO Osu Physicians 918-561-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2013-09-10 |
Last Update Date | 2016-08-20 |