Graduated: 2018
NPI: 1780179366
Practice Locations (2)
AHS OKLAHOMA PHYSICIAN GROUP LLC
10512 N 110TH E AVE
OWASSO, OK 740556638
AHS OKLAHOMA PHYSICIAN GROUP LLC
20 E 34TH ST
SAND SPRINGS, OK 740634001
9182459675
Source: CMS National Downloadable File, September 2026.