Individual
ALEC PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127-1800
(405) 482-0313
Mailing address
308 NW 24TH ST APT C, OKLAHOMA CITY, OK 73103-3228
(918) 991-5231
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477914166
LANDMARK RECOVERY
OK
Enumeration date
01/15/2019
Last updated
01/15/2019
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