Medical school: CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2025
NPI: 1902788847
Practice Locations (3)
114 W DELAWARE AVE
NOWATA, OK 740482601
8709 S PHOENIX AVE
TULSA, OK 741325605
PO BOX, SUITE 690117
TULSA, OK 74169
Source: CMS National Downloadable File, September 2026.