Graduated: 2018
NPI: 1801371463
Practice Locations (2)
INTEGRIS AMBULATORY CARE CORPORATION
1900 N 14TH ST
PONCA CITY, OK 746012035
5807653321
PROVIDENCE HEALTH AND SERVICES WASHINGTON
217 W CATALDO AVE, FL 3
SPOKANE, WA 992012217
5097476194
Source: CMS National Downloadable File, September 2026.