Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1447390927
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
4221 S WESTERN AVE, 5050 INTEGRIS GEN SURG SOUTHWEST
OKLAHOMA CITY, OK 731093436
4056367900
Source: CMS National Downloadable File, September 2026.