Peterson Medical LLC

NPI #1033762513 in Blanchard, Oklahoma

Provider Information

NPI Number
1033762513
Entity Type
Organization
Organization Name
Peterson Medical LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 23, 2019
Last Updated
Jul 23, 2019

Practice Location

Address
217 N HARRISON AVE
ZIP Code
73010-6211
Phone
(405) 631-0611

Authorized Official

Name
BRADEN PETERSON, NP
Title
MEMBER
Phone
(580) 235-1657

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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