Ashley Anne Petersen, M.D.

NPI #1003058579 in Coweta, Oklahoma

Provider Information

NPI Number: 1003058579
Entity Type: Individual
Name: Ashley Anne Petersen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Mar 30, 2009
Last Updated: Jul 2, 2012

Practice Location

Address: 30011 E STATE HIGHWAY 51
City: Coweta
State: Oklahoma
ZIP Code: 74429-7681
Phone: (918) 486-2161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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