Graduated: 2017
NPI: 1750894291
Practice Locations (2)
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
AHS OKLAHOMA PHYSICIAN GROUP LLC
1120 S UTICA AVE
TULSA, OK 741044012
9185799393
Source: CMS National Downloadable File, September 2026.