institution
Peterson Wellness Primary Care And Pediatrics, Pllc
Primary Care Clinic/Center in Broken Arrow, Oklahoma
NPI 1851062517

Peterson Wellness Primary Care And Pediatrics, Pllc is a Primary Care Clinic/Center based in Broken Arrow, OK and is specialized in Primary Care. Peterson Wellness Primary Care And Pediatrics, Pllc practices in Broken Arrow, OK. The NPI Number for Peterson Wellness Primary Care And Pediatrics, Pllc is 1851062517 and holds a License No. (Oklahoma).

The current practice location address for Peterson Wellness Primary Care And Pediatrics, Pllc is 109 W Commercial St, Broken Arrow, OK and can be reached out via phone at 918-724-3952.

Location: 109 W Commercial St, Broken Arrow, OK, 74014-3426
institution
Provider Profile Details
NPI Number
1851062517
Provider Name
Peterson Wellness Primary Care And Pediatrics, Pllc
Credential
Provider Entity Type
Organization
Address
109 W Commercial St, Broken Arrow, OK, 74014-3426
Phone Number
918-724-3952
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200833910A 05 OK
institution
Provider Business Practice Location Address Details
Address
109 W Commercial St
City
State
Zip
74012-4012
Phone Number
918-724-3952
Fax Number
person
Provider Business Mailing Address Details
Address
109 W Commercial St
City
State
Zip
74012-4012
Phone Number
918-724-3952
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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