Individual
DR. CHERI A PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6409
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1999137391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999137391
MISSOURI STATE LICENSE NUMBER
MO
Enumeration date
03/02/2006
Last updated
07/20/2011
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