Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2009
NPI: 1942436134
Practice Locations (2)
RURAL WELLNESS FAIRFAX INC
40 HOSPITAL RD
FAIRFAX, OK 746375084
9186423291
CAH ACQUISITION COMPANY 12 LLC
40 HOSPITAL RD
FAIRFAX, OK 746375084
Source: CMS National Downloadable File, September 2026.