Organization

Oklahoma State University

May also be knows as Osu Physicians

Legal Business Name

Oklahoma State University

Also Known As

Osu Physicians

NPI Number

1306882261

NPI Type

Organization

Enumeration Date

06/21/2006

Contact
Information

Purpose

Mailing
Location

Address

5310 E 31ST ST STE 13
2345 SOUTHWEST BLVD

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74135-5013
74107-2705

Country

US
US

Telephone Number

(918) 561-5701
(918) 561-5701

Authorized Official

Name

Eric Polak

Title or Position

VP/CFO

Telephone Number

(918) 561-8422

Identifiers

Identifier

100757080A

Identifier State

OK

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/28/2024

Provider Address