(800) 868-1923

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: