Graduated: 2024
NPI: 1962989327
Practice Locations (2)
IAS OKLAHOMA LLC
5602 SW LEE BLVD
LAWTON, OK 735059635
5805314700
EMERGENCHEALTH PLLC
111 N BAILEY ST, HC HOSP PRYOR
PRYOR, OK 743614201
9188251600
Source: CMS National Downloadable File, September 2026.