NPI | 1992376313 |
---|---|
Doing Business As | OSU-AJ JULIE L. WILEY, D.O., PLLC. |
Entity Type | Organization |
Authorized Contact | ERIC JOHN POLAK Vice President Of Admin/Finance 918-561-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2021-07-07 |
Last Update Date | 2021-07-07 |