Oklahoma State University

NPI #1265270284 in Tulsa, Oklahoma

Provider Information

NPI Number: 1265270284
Entity Type: Organization
Organization Name: Oklahoma State University
Primary Specialty: Surgery
Enumeration Date: Jul 15, 2024
Last Updated: Jul 15, 2024

Practice Location

Address: 802 S JACKSON AVE STE 505
City: Tulsa
State: Oklahoma
ZIP Code: 74127-9060
Phone: (918) 747-5322

Authorized Official

Name: SAMANTHA KAY OVERFIELD
Title: CREDENTIALING ADMIN
Phone: (918) 561-5714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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