NPI | 1215348891 |
---|---|
Doing Business As | OSU-AJ PEDISTAT, PLLC |
Entity Type | Organization |
Authorized Contact | ERIC POLAK CFO Osu Physicians 918-561-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2014-05-16 |
Last Update Date | 2016-03-02 |