Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2024
NPI: 1720701766
Practice Locations (2)
1208 KING ST, SUITE 405
CHATTANOOGA, TN 374034352
PO BOX, SUITE 27128
SALT LAKE CITY, UT 84127
Source: CMS National Downloadable File, September 2026.