| Osu-aj the Perinatal Center Fort Smith | |
|
3420 S 74th St Ste 116 Fort Smith AR 72903-5026 | |
| (918) 561-8306 | |
| (918) 561-5747 |
| Full Name | Osu-aj the Perinatal Center Fort Smith |
|---|---|
| Speciality | Clinic/center |
| Location | 3420 S 74th St Ste 116, Fort Smith, Arkansas |
| Authorized Official Name and Position | Eric John Polak (VICE PRESIDENT FOR OF ADMIN/FINANCE) |
| Authorized Official Contact | 9185618422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu-aj the Perinatal Center Fort Smith 2345 Southwest Blvd Tulsa OK 74107-2705 Ph: (918) 561-8306 | Osu-aj the Perinatal Center Fort Smith 3420 S 74th St Ste 116 Fort Smith AR 72903-5026 Ph: (918) 561-8306 |
| NPI Number | 1427632942 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 05/11/2021 |
| Certification Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427632942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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