Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2001
NPI: 1003958893
Practice Locations (1)
NORMAN REGIONAL PROVIDERS SPECIALTY CARE
724 24TH AVE NW, 220 NEUROSURGERY ASSOC
NORMAN, OK 730696214
4053073300
Source: CMS National Downloadable File, September 2026.