Individual
DR. GUY LANDER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8125 NE 139TH ST, EDMOND, OK 73013-8703
(405) 396-2287
Mailing address
8125 NE 139TH ST, EDMOND, OK 73013
(405) 396-2287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4944
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294310A
—
OK
Enumeration date
07/07/2010
Last updated
04/03/2026
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