Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2024
NPI: 1114640091
Practice Locations (3)
9210 S WESTERN AVE, SUITE A 20
OKLAHOMA CITY, OK 731394982
2030 S MAYBELLE AVE
TULSA, OK 741071832
PO BOX, SUITE 700360
TULSA, OK 74170
Source: CMS National Downloadable File, September 2026.