Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2004
Also: EMERGENCY MEDICINE
NPI: 1780789388
Practice Locations (1)
CITIZEN POTAWATOMI NATION
2307 GORDON COOPER DR
SHAWNEE, OK 748019007
4052735236
Source: CMS National Downloadable File, September 2026.