Search › Oklahoma › 175T00000X
Jimmie Peterson
NPI 1417483405 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4913 W Reno Ave
Oklahoma City, OK 73127 - Phone
- (405) 948-4900
- Fax
- (405) 948-4933
- Organisation at this address
- Central Oklahoma American Indian Health Council, Inc.
Central Oklahoma American Indian Health Council, Inc.
Central Oklahoma American Indian Health Council, Inc.
Central Oklahoma American Indian Health Council, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 254
Additional practice sites
- 12821 Stratford Dr Apt 236, Oklahoma City, OK
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 171M00000X
- Sex
- Male
- Record last updated
- 2020-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma