NPI 1003058579

Ashley Anne Petersen, MD

Practitioner Pediatrics Physician Coweta, OK

Practice location

Address: 30011 E State Highway 51, Coweta, OK 74429-7681
Phone: (918) 486-2161
Mailing address: 6600 S Yale Ave Suite 1400, Tulsa, OK 74136-3347

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 29052 (OK)

Other Pediatrics providers in Oklahoma →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Oklahoma →

Registry record

NPI: 1003058579
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2009
Record last updated: 2 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.