| NPI | 1659834307 |
|---|---|
| Doing Business As | OSU-AJ OKLAHOMA SURGICAL GROUP SOUTH WALKER |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK Vice President For Admin/Finance 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |