State of Oklahoma Osu Center for Health Sciences College of Osteopathi

NPI #1437351616 in Tulsa, Oklahoma

Provider Information

NPI Number: 1437351616
Entity Type: Organization
Organization Name: State of Oklahoma Osu Center for Health Sciences College of Osteopathi
Primary Specialty: Ophthalmology
Enumeration Date: Jun 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3800 W 71ST ST
City: Tulsa
State: Oklahoma
ZIP Code: 74132-2117
Phone: (918) 388-4708

Authorized Official

Name: ERIC POLAK
Title: AUTHORIZED OFFICIAL
Phone: (918) 561-8395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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