Individual
MR. PETER W KEUPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6908 E RENO AVE, MIDWEST CITY, OK 73110-2128
(405) 737-6871
Mailing address
1305 BROAD ACRES DR, NORMAN, OK 73072-3410
(405) 255-6130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA748
OK
Other
Enumeration date
03/28/2007
Last updated
09/12/2013
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