NPI | 1730793696 |
---|---|
Doing Business As | OSU MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | SAMANTHA KAY OVERFIELD Credentialing Administrator 918-561-5714 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |