Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2010
Also: GENERAL PRACTICE
NPI: 1376830356
Practice Locations (2)
INTEGRAL ANESTHESIA LLC
3029 W MAIN ST
JENKS, OK 740373465
9187012300
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
Source: CMS National Downloadable File, September 2026.