Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2010
NPI: 1366761108
Practice Locations (3)
10600 S PENN, 16 536
OKLAHOMA CITY, OK 731709998
11001 S WESTERN, SUITE 300
OKLAHOMA CITY, OK 731706214
11001 S WESTERN AVE, SUITE 300
OKLAHOMA CITY, OK 731706214
4053390204
Source: CMS National Downloadable File, September 2026.