OSUMC PROFESSIONAL SERVICES LLC

OKMULGEE, OK
NPI1730793696
Doing Business AsOSU MEDICAL GROUP
Entity TypeOrganization
Authorized ContactSAMANTHA KAY OVERFIELD
Credentialing Administrator
918-561-5714
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2020-09-08
Last Update Date2020-09-08
Business Address
OSUMC PROFESSIONAL SERVICES LLC
112 W 5TH STREET
OKMULGEE, OK 74447-0000
Phone number: 918-752-1080
Mailing Address
OSUMC PROFESSIONAL SERVICES LLC
2401 SOUTHWEST BLVD
TULSA, OK 74107-2726
Phone number: 918-561-5701