Graduated: 2020
NPI: 1902403801
Practice Locations (2)
COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
1400 W 4TH ST
COFFEYVILLE, KS 673373306
62025112001147
SEVA PAIN AND WELLNESS
2811 E 15TH ST, 102 SEVA MED CARE
TULSA, OK 741045242
9189353240
Source: CMS National Downloadable File, September 2026.