IndividualActive
Jennifer Peterson, M.D.
NPI 1902249592 · Adult Reconstructive Orthopaedic Surgery Physician · Tulsa, OK
Provider details
- NPI number
- 1902249592
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35.133869 (OH)
Practice location
4802 S 109th East Ave
Tulsa, OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1488
Mailing address
4802 S 109th East Ave
Tulsa, OK 74146-5822
Registry dates
- Enumerated
- 2013-04-12
- Last updated
- 2023-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.