Peterson, Paul David

Peterson, Paul David is an individual health care provider with primary practice located at 4812 S 109Th East Ave Suite 300, Tulsa OK 74146-5826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Peterson, Paul David can be contacted via phone (918) 392-1400.

Contact Information

Primary practice address
4812 S 109Th East Ave Suite 300 Tulsa OK 74146-5826
Phone: (918) 392-1400
Fax: (918) 236-4587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 17851 Oklahoma

Profile Details

NPI number 1427084318
LBN Legal business name Peterson, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Feb 10th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427084318 NPPES
Other 7822481 CIGNA
MEDICAID 100173870A CIGNA
Other 4207831 CIGNA

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