Individual
DR. JENNIFER ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1513
(918) 392-1590
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
34618
OK
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35.133869
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2013
Last updated
03/20/2023
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