| NPI | 1962542290 |
|---|---|
| Doing Business As | OSU-AJ DAVID SHADID DO INC |
| 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 | 2007-02-07 |
| Last Update Date | 2016-04-07 |