Graduated: 2019
NPI: 1972144475
Practice Locations (2)
STILLWATER MEDICAL CENTER AUTHORITY
2340 E MAIN ST
CUSHING, OK 740232905
9182256904
IES ER OKLAHOMA LLC
6161 S YALE AVE
TULSA, OK 741361902
9184942200
Source: CMS National Downloadable File, September 2026.