Peterson Wellness Primary Care and Pediatrics, Pllc
NPI #1851062517 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1851062517
- Entity Type
- Organization
- Organization Name
- Peterson Wellness Primary Care and Pediatrics, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 22, 2021
- Last Updated
- Sep 22, 2021
Practice Location
- Address
- 109 W COMMERCIAL ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4012
- Phone
- (918) 724-3952
Authorized Official
- Name
- ASHTON DANIELLE PETERSON, NP
- Title
- NURSE PRACTITIONER, OWNER
- Phone
- (918) 724-3952
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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