Dr RUSSELL A PETERS is a male medical professional, specializing in Nurse Practitioner. He graduated in 2015.
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA
138 S MAIN ST
AFTON
OK
743311822
Tel: 918257802921
| Npi | 1093252439 |
| Pac Id | 2769767789 |
| Professional Enrollment Id | I20170314000607 |
| Last Name | PETERS |
| First Name | RUSSELL |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA |
| Group Practice Pac Id | 9133352081 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 138 S MAIN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AFTON |
| State | OK |
| Zip Code | 743311822 |
| Phone Number | 918257802921 |
| Hospital Affiliation Ccn 1 | 370113 |
| Hospital Affiliation Lbn 1 | INTEGRIS GROVE HOSPITAL |
| Hospital Affiliation Ccn 2 | 370004 |
| Hospital Affiliation Lbn 2 | INTEGRIS MIAMI HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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