Graduated: 2013
NPI: 1699199984
Practice Locations (2)
GRADY MEMORIAL HOSPITAL
2100 W IOWA AVE, SUITE A
CHICKASHA, OK 730182736
4052242100
GRADY MEMORIAL HOSPITAL
2220 W IOWA AVE, PROFESSIONAL MEDICAL SERVICES
CHICKASHA, OK 730182738
4052242300
Source: CMS National Downloadable File, September 2026.