Individual
PETER ALLAN IPPOLITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(405) 880-8046
Mailing address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 934-8347
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5760
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
04/30/2026
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