Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2019
NPI: 1609335595
Practice Locations (1)
ST. JOHN PHYSICIANS, INC.
12455 E 100TH ST N, SUITE 220
OWASSO, OK 740554675
9182745555
Source: CMS National Downloadable File, September 2026.