| NPI | 1720252182 |
|---|---|
| Doing Business As | OSU-AJ YOUNG PEOPLES CLINIC, PC |
| Entity Type | Organization |
| Authorized Contact | ERIC POLAK CFO Osu Physicians 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2020-07-10 |