| NPI | 1659998938 |
|---|---|
| Doing Business As | OSU-AJ WARREN CLINIC PEDIATRICS COWETA |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK Vise President Of Admin And Finance 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-06-28 |