Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2005
NPI: 1780853358
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
5915 W MEMORIAL RD, SUITE 200
OKLAHOMA CITY, OK 731422022
4057736400
Source: CMS National Downloadable File, September 2026.