Dr. Jo Elle Grace Peterson, MD
Pathology, Anatomic Pathology in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1881830438
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1881830438
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jo Elle Grace Peterson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 5, 2009
- Certification date
- Aug 26, 2026
- Last updated
- Aug 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0101X | Pathology, Anatomic Pathology | 30326 | OK | Yes |
| 207ZN0500X | Pathology, Neuropathology | 30326 | OK |
Practice location
3300 Nw ExpresswayOklahoma City, OK 73112-4418
Phone 405-713-7002
Mailing address
4770 Regent BlvdIrving, TX 75063-2445
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