| NPI | 1437480670 |
|---|---|
| Doing Business As | OSU PHYSICIANS FAMILY MEDICINE EASTGATE |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK VP 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2024-10-28 |