Organization
PETERSON HEALTHCARE LLC
Active
Other names
Excel Family Medical & Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRADEN PETERSON APRN-CNP (NURSE PRACTITIONER / OWNER)
(405) 677-3378
Entity
Organization
Contact information
Practice address
217 N HARRISON AVE STE 109, BLANCHARD, OK 73010-6217
(405) 888-8483
(918) 803-4861
Mailing address
217 N HARRISON AVE STE 109, BLANCHARD, OK 73010-6217
(405) 888-8483
(918) 803-4861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200882870A
—
OK
05
—
200882870B
—
OK
Enumeration date
12/16/2019
Last updated
03/06/2026
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