Peterson, Jo Elle Grace

Peterson, Jo Elle Grace is an individual health care provider with primary practice located at 940 Stanton L Young Blvd # 451 , Oklahoma City OK 73104-5020. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Peterson, Jo Elle Grace can be contacted via phone (713) 206-7708.

Contact Information

Primary practice address
940 Stanton L Young Blvd # 451 Oklahoma City OK 73104-5020
Phone: (713) 206-7708
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 30326 Oklahoma
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 30326 Oklahoma

Profile Details

NPI number 1881830438
LBN Legal business name Peterson, Jo Elle Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2009
Last updated Jan 23rd, 2017 - about 9 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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