| NPI | 1588229033 |
|---|---|
| Doing Business As | OSU PHYSICIANS ADDICTION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK VP/CFO 918-561-8422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |