| NPI | 1245909308 |
|---|---|
| Doing Business As | OSU PHYSICIANS |
| Other Name | OSU ATHLETICS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK VP Administrative Affairs 918-561-8422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207P00000X Emergency Medicine | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |