Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1033006655
Practice Locations (2)
MELIUS INNOVATIONS LLC
501 NE 12TH ST
MOORE, OK 731605807
4058068878
MOORE CARE LLC
507 NE 12TH ST
MOORE, OK 731605807
4052379955
Source: CMS National Downloadable File, September 2026.