Graduated: 2024
NPI: 1295458008
Practice Locations (2)
SOUTH CENTRAL EMERGENCY SERVICES, PC
200 2ND AVE SW
MIAMI, OK 743546830
9185426611
WAGONER HOSPITAL AUTHORITY
1200 W CHEROKEE ST
WAGONER, OK 744674624
9184855514
Source: CMS National Downloadable File, September 2026.