Osumc Professional Services LLC
NPI #1154845501 in Sand Springs, Oklahoma
Provider Information
- NPI Number
- 1154845501
- Entity Type
- Organization
- Organization Name
- Osumc Professional Services LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OSUMC PROFESSIONAL SERVICES LLC
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Jul 27, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 514 PLAZA CT
- City
- Sand Springs
- State
- Oklahoma
- ZIP Code
- 74063-7915
- Phone
- (918) 215-5100
Authorized Official
- Name
- SAMANTHA OVERFIELD
- Title
- CREDENTIALING ADMINISTRATOR
- Phone
- (918) 561-5714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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