Graduated: 1999
NPI: 1124094859
Practice Locations (3)
MEDWISE LLC
1095 N ASPEN AVE
BROKEN ARROW, OK 740129641
9187272790
MEDWISE LLC
11495 S STATE HWY 51
COWETA, OK 744297138
9187272780
MEDWISE LLC
11760 E 86TH ST N
OWASSO, OK 740552533
9189989960
Source: CMS National Downloadable File, September 2026.