Individual
DR. AMANDA DIANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
207 S MEMORIAL DR, TULSA, OK 74112-2201
(918) 838-2937
Mailing address
207 S MEMORIAL DR, TULSA, OK 74112-2201
(918) 838-2937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17733
OK
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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