| NPI | 1548329063 |
|---|---|
| Doing Business As | OSU PHYSICIANS FAMILY MEDICINE LEGACY |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK VP 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-10-28 |