Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2013
NPI: 1184046336
Practice Locations (1)
AHS HENRYETTA HOSPITAL LLC
2403 W MAIN ST, UTICA PARK CLINIC FAMILY CARE
HENRYETTA, OK 744373893
9186529650
Source: CMS National Downloadable File, September 2026.