Individual
BENJAMIN H PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N LINCOLN BLVD STE 400, OKLAHOMA CITY, OK 73104-3252
(405) 271-4912
Mailing address
1000 N LINCOLN BLVD STE 400, OKLAHOMA CITY, OK 73104-3252
(405) 271-4912
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
45655
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2021
Last updated
05/12/2025
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