Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1013974757
Practice Locations (2)
INTEGRIS AMBULATORY CARE CORPORATION
1900 N 14TH ST
PONCA CITY, OK 746012035
5807653321
TULSA HOSPITAL MEDICINE PHYSICIANS GROUP, LLC
6901 S OLYMPIA AVE, TULSA SPINE AND SPECIALTY HOSPITAL
TULSA, OK 741321843
9183885701
Source: CMS National Downloadable File, September 2026.