Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2009
Also: FAMILY PRACTICE
NPI: 1164755872
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
1001 E 18TH ST, INTEGRIS GROVE HOSPITAL
GROVE, OK 743442097
9187862243
Source: CMS National Downloadable File, September 2026.