NPI | 1346951415 |
---|---|
Doing Business As | OSU-AJ UTICA PARK CLINIC BREAST SURGERY |
Entity Type | Organization |
Authorized Contact | ERIC JOHN POLAK Vice President Of Admin/Finance 918-561-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2022-12-09 |
Last Update Date | 2022-12-09 |