NPI | 1124413075 |
---|---|
Doing Business As | OSU-AJ PREMIER PEDIATRICS OF MUSKOGEE |
Entity Type | Organization |
Authorized Contact | ERIC POLAK Vice President For Admin/Finance 918-561-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2015-03-30 |
Last Update Date | 2016-03-02 |