IndividualActive
Ashley Petersen, M.D.
NPI 1003058579 · Pediatrics Physician · Coweta, OK
Provider details
- NPI number
- 1003058579
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
30011 E State Highway 51
Coweta, OK 74429-7681
Phone: (918) 486-2161
Approximate (ZIP-level) locationGet directions
Mailing address
6600 S Yale Ave
Tulsa, OK 74136-3347
Registry dates
- Enumerated
- 2009-03-30
- Last updated
- 2012-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.