| NPI | 1366825507 |
|---|---|
| Doing Business As | OSU-AJ SMPC WEST |
| Entity Type | Organization |
| Authorized Contact | ERIC POLAK Vice President For Admin/Finance 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-04-06 |