NPI | 1518345248 |
---|---|
Doing Business As | OSH PHYSICIAN GROUP |
Entity Type | Organization |
Authorized Contact | KEVIN BLAYLOCK CEO/AO 405-749-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
Additional Taxonomies | 207L00000X Anesthesiology |
208VP0014X Pain Medicine Interventional Pain Medicine | |
Enumeration Date | 2015-05-14 |
Last Update Date | 2022-08-10 |