Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1033221403
Practice Locations (1)
401 SW 80TH ST, SUITE 201
OKLAHOMA CITY, OK 731398123
4056329090
Source: CMS National Downloadable File, September 2026.