| NPI | 1780321893 |
|---|---|
| Doing Business As | OSU PHYSICIANS |
| Other Name | OSU ADDICTION MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN POLAK VP Administrative Affairs 918-561-8422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |