Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1043308059
Practice Locations (2)
NORMAN REGIONAL PROVIDERS SPECIALTY CARE
3151 HEALTHPLEX DR
NORMAN, OK 730721001
4053294102
NORMAN REGIONAL PROVIDERS SPECIALTY CARE
3300 HEALTHPLEX PKWY
NORMAN, OK 730729749
4055151000
Source: CMS National Downloadable File, September 2026.