Most Relevant Information
Provider Data
NPI Number: | 1003058579 |
Provider Name: | ASHLEY ANNE PETERSEN M.D. |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 03/30/2009 |
Last Updated: | 07/02/2012 |
Provider Practice Location
30011 E STATE HIGHWAY 51
COWETA
OK
744297681
Practice Location Phone/Fax
Phone: | 9184862161 |
Fax: |
Provider Mailing Location
6600 S YALE AVE
SUITE 1400
TULSA
OK
741363347
Provider Mailing Phone/Fax
Phone: | |
Fax: |