Graduated: 2021
NPI: 1376112102
Practice Locations (2)
TRIAD PEDIATRICS, LLC
1001 HOSPITAL CIR
KINGFISHER, OK 737505002
4053757935
TRIAD HEALTH SYSTEMS LLC
2703 N 14TH ST, TRIAD COMPLETE HEALTHCARE
PONCA CITY, OK 746011738
5807659451
Source: CMS National Downloadable File, September 2026.