Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2021
NPI: 1992375752
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
1205 HEALTH CTR PKWY, SUITE 100
YUKON, OK 730996396
4057175400
Source: CMS National Downloadable File, September 2026.