| NPI | 1720779887 |
|---|---|
| Doing Business As | OSU-AJ SOUTHWEST ORTHOPAEDIC SPECIALISTS-SPINE,PAIN,WELLNESS INST. |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK Vice President Of Admin/Finance 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |