Graduated: 2000
NPI: 1972509727
Practice Locations (2)
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
INTEGRAL ANESTHESIA LLC
1923 S UTICA AVE
TULSA, OK 741046520
9197443131
Source: CMS National Downloadable File, September 2026.