Graduated: 2017
NPI: 1487151106
Practice Locations (3)
CLEVELAND AREA HOSPITAL AUTHORITY
1400 W PAWNEE ST
CLEVELAND, OK 740203020
CLEVELAND AREA HOSPITAL AUTHORITY
1401 W PAWNEE ST
CLEVELAND, OK 740203020
IES ER OKLAHOMA LLC
6161 S YALE AVE
TULSA, OK 741361902
9184942200
Source: CMS National Downloadable File, September 2026.