| NPI | 1174684385 |
|---|---|
| Doing Business As | OSU COUNTRY CLUB GARDEN PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | REBECCA WILSON Director Of Clinic Financial Servic 918-561-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-06-25 |