Graduated: 2020
NPI: 1184398620
Practice Locations (2)
GRADY MEMORIAL HOSPITAL
2100 W IOWA AVE, SUITE A
CHICKASHA, OK 730182736
4052242100
GRADY MEMORIAL HOSPITAL
4805 E HWY 37
TUTTLE, OK 730898791
4053819979
Source: CMS National Downloadable File, September 2026.