| NPI | 1255899639 |
|---|---|
| Doing Business As | OSU-AJ WARREN CLINIC WARREN OB/GYN 815 |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK Vice President For Admin/Finance 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-04-01 |