Individual
MR. ROWDY ADAM PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 510-2160
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 510-2160
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
OK
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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