Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2014
NPI: 1154747053
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
115 W 13TH ST, INTEGRIS GRAND LAKE SURG CLIN
GROVE, OK 743443224
9187867300
Source: CMS National Downloadable File, September 2026.