Individual
PAUL DAVID PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4812 S 109TH EAST AVE, SUITE 300, TULSA, OK 74146-5826
(918) 392-1400
(918) 236-4587
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17851
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100173870A
—
OK
01
—
4207831
AETNA
—
01
—
7822481
CIGNA
—
Enumeration date
06/23/2006
Last updated
02/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us