# MICHAEL L PEASTER M D P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992884894
- **Authorized official:** MICHAEL LEON PEASTER M.D. (OWNER)
- **Authorized official phone:** (918) 338-3800

## Contact information

- **Practice address:** 500 E 5TH ST, BARTLESVILLE, OK 74003-3909
- **Practice address phone:** (918) 338-3800
- **Practice address fax:** (918) 336-1505
- **Mailing address:** 500 E 5TH ST, BARTLESVILLE, OK 74003-3909
- **Mailing address phone:** (918) 338-3800
- **Mailing address fax:** (918) 336-1505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 23383 | OK | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 02/15/2008