Graduated: 1988
NPI: 1013945468
Practice Locations (2)
100 NE 85TH ST
OKLAHOMA CITY, OK 731143916
4054319921
13100 N WESTERN AVE, 200 ELITE PAIN AND HEALTH
OKLAHOMA CITY, OK 731141431
8007811220
Source: CMS National Downloadable File, September 2026.