Individual
COY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 E KENOSHA ST, BROKEN ARROW, OK 74012-2098
(918) 615-6941
(918) 615-6942
Mailing address
1801 E KENOSHA ST, BROKEN ARROW, OK 74012-2098
(918) 615-6941
(918) 615-6942
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5795
OK
Other
Enumeration date
04/14/2014
Last updated
07/21/2022
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