| NPI | 1750457669 |
|---|---|
| Doing Business As | OSU-AJ SOUTH TULSA PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ERIC POLAK Vice President For Admin/Finance 918-561-8422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2016-03-28 |