Individual
DR. NICHOLAS SCOTT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 CHILDRENS AVE STE 12200, OKLAHOMA CITY, OK 73104
(405) 271-6372
(405) 271-2281
Mailing address
1200 CHILDRENS AVE STE 12200, OKLAHOMA CITY, OK 73104-4637
(405) 271-6372
(405) 271-2281
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34009
OK
Other
Enumeration date
05/15/2015
Last updated
07/03/2018
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