Individual
DR. PETER COLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34436
OK
Other
Enumeration date
04/12/2013
Last updated
10/10/2019
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