Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1326509092
Practice Locations (1)
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
5319 S MILL ST, PRYOR FAMILY MEDICAL CENTER
PRYOR, OK 743616839
9187723390
Source: CMS National Downloadable File, September 2026.