| 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 |