OSU OWASSO

OWASSO, OK
NPI1982764171
Entity TypeOrganization
Authorized ContactKIM PENICK
Associate Director
918-561-8322
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2006-12-11
Last Update Date2008-09-16
Business Address
OSU OWASSO
10512 N. 110TH E. AVE
OWASSO, OK 74055
Phone number: 918-747-5322
Mailing Address
OSU OWASSO
10512 N. 110TH E. AVE
OWASSO, OK 74055
Phone number: