Organization
MICHAEL L PEASTER M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEON PEASTER M.D. (OWNER)
(918) 338-3800
Entity
Organization
Contact information
Practice address
500 E 5TH ST, BARTLESVILLE, OK 74003-3909
(918) 338-3800
(918) 336-1505
Mailing address
500 E 5TH ST, BARTLESVILLE, OK 74003-3909
(918) 338-3800
(918) 336-1505
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23383
OK
Other
Enumeration date
11/03/2006
Last updated
02/15/2008
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