Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1978
NPI: 1043226764
Practice Locations (3)
RURAL WELLNESS FAIRFAX INC
40 HOSPITAL RD
FAIRFAX, OK 746375084
9186423291
CAH ACQUISITION COMPANY 12 LLC
40 HOSPITAL RD
FAIRFAX, OK 746375084
IOWA TRIBE OF OKLAHOMA
509 E HWY 33
PERKINS, OK 740594129
4055472473
Source: CMS National Downloadable File, September 2026.