| NPI | 1881753358 | 
|---|---|
| Doing Business As | OSU COUNTRY GARDEN FAMILY MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | REBECCA WILSON Director Of Clinic Financial Servic 918-561-8322  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty | 
| Enumeration Date | 2006-12-08 | 
| Last Update Date | 2008-06-25 |