PETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC is a primary care clinic center in Broken Arrow, OK. PETERSON WELLNESS PRIMARY CARE AND PEDIATRICS, PLLC NPI is 1851062517. The provider is registered as an organization entity type.
The provider's business location address is:
109 W COMMERCIAL ST
BROKEN ARROW, OK
ZIP 74012-012
Phone: (918) 724-3952
The provider's authorized official is Ashton Danielle Peterson .
The authorized official title is Nurse Practitioner, Owner and has the following contact phone number (918) 724-3952.
The CLIA number assigned to this NPI record is 37D2264309 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/22/2021 and was last updated on 9/22/2021.