Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2016
NPI: 1770933277
Practice Locations (3)
NORMAN REGIONAL PROVIDERS PRIMARY CARE
700 S TELEPHONE RD, 201 PRIMARY CARE MOORE
MOORE, OK 731602538
4059123120
NORMAN REGIONAL PROVIDERS PRIMARY CARE
2605 SW 119TH ST A, PRIMARY CARE
OKLAHOMA CITY, OK 731702601
4059123400
NORMAN REGIONAL PROVIDERS PRIMARY CARE
2605 SW 119TH ST B, CHIROPRACTIC AND WELLNESS CLINIC
OKLAHOMA CITY, OK 731702601
4059123900
Source: CMS National Downloadable File, September 2026.