Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2016
NPI: 1174985170
Practice Locations (1)
CHOCTAW NATION OF OKLAHOMA
410 N M ST, CHOCTAW NATION HEALTH CARE HUGO
HUGO, OK 747431820
9185677000
Source: CMS National Downloadable File, September 2026.