PETERSON MEDICAL LLC is a family nurse practitioner in Blanchard, OK. PETERSON MEDICAL LLC NPI is 1033762513. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
217 N HARRISON AVE
BLANCHARD, OK
ZIP 73010-211
Phone: (405) 631-0611
The provider's authorized official is Braden Peterson .
The authorized official title is Member and has the following contact phone number (580) 235-1657.
The CLIA number assigned to this NPI record is 37D2179425 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/23/2019 and was last updated on 7/23/2019.