Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1730779901
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
1401 SW 34TH ST, 200 INTEGRIS PAIN MGMT MOORE
OKLAHOMA CITY, OK 731603059
4059454359
Source: CMS National Downloadable File, September 2026.