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Benjamin Petersen, MD — NPI 1710653803, Oklahoma City, OK | NPI Central

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Benjamin Petersen, MD

NPI 1710653803 · Neurological Surgery Physician · Oklahoma City, OK

Provider details

NPI number: 1710653803
Entity type: Individual
Primary specialty: Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 45655 (OK)

Specialties & taxonomies

Neurological Surgery PhysicianPrimary207T00000XLicense 45655 (OK)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

1000 N Lincoln Blvd Ste 400

Oklahoma City, OK 73104-3252

Phone: (405) 271-4912

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

1000 N Lincoln Blvd Ste 400

Oklahoma City, OK 73104-3252

Additional practice locations (1)

800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018
Phone: (405) 271-2316

Registry dates

Enumerated: 2021-08-18
Last updated: 2025-05-12
Certified: 2025-05-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.