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NPI Code Detail

MEDICARE: OSU MEDICAL CENTER

MEDICARE: OSU MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NW0100XWomen's Hospital

General Provider Information

NPI Number : 1396978854
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSU MEDICAL CENTER
Provider Business Mailing Address
First Line : 2909 S PEORIA AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-5317
Country : US
Telephone Number : 605-660-1451
Fax Number :
Provider Business Practice Location Address
First Line : 2909 S PEORIA AVE
Second Line :
City : TULSA
State : OK
Zip : 74114-5317
Country : US
Telephone Number : 605-660-1451
Fax Number :
Authorized Official
Title or Position : OB/GYN
Name : JAMES WAGNER
Credential : DO
Telephone Number : 605-660-1451
Provider Enumeration Date : 09/01/2009
Last Update Date : 09/01/2009

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Directions to “OSU MEDICAL CENTER ” Practice Location

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