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
Specialties
(Taxonomies)Name
Code
2084A0401X
207RC0000X
207P00000X
207Q00000X
207R00000X
204D00000X
207V00000X
208000000X
207RP1001X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
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