Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2011
NPI: 1851685747
Practice Locations (2)
SHO PROFESSIONAL SERVICES LLC
3130 SW 89TH ST, SUITE 200
OKLAHOMA CITY, OK 731597909
8889577463
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC
2029 GORDON COOPER DR
SHAWNEE, OK 748019005
4058785850
Source: CMS National Downloadable File, September 2026.