Graduated: 1994
NPI: 1245233113
Practice Locations (2)
INTEGRIS AMBULATORY CARE CORPORATION
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 731124418
4059493141
IBMC ER PHYSICIANS
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 731124418
4059493011
Source: CMS National Downloadable File, September 2026.