| NPI | 1154845501 |
|---|---|
| Doing Business As | OSU MEDICAL GROUP SAND SPRINGS PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA OVERFIELD Credentialing Administrator 918-561-5714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: OK 5451) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |