Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2023
NPI: 1902593288
Practice Locations (3)
200 N BRYANT AVE, SUITE 10
Edmond, OK 730346294
200 N BRYANT AVE, SUITE 10
EDMOND, OK 730346294
PO BOX, SUITE 269031
OKLAHOMA CITY, OK 73126
Source: CMS National Downloadable File, September 2026.