Medical school: COL OF OSTEO MED OF THE PACIFIC AT LEBANON
Graduated: 2018
NPI: 1407218639
Practice Locations (1)
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
8005 E 106TH ST, OU PHYSICIANS TULSA
TULSA, OK 741336600
9186347600
Source: CMS National Downloadable File, September 2026.