Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1987
NPI: 1093742702
Practice Locations (1)
NORMAN REGIONAL PROVIDERS SPECIALTY CARE
2821 36TH AVE NW, 200 JOURNEY CLINIC
NORMAN, OK 730722477
4055152049
Source: CMS National Downloadable File, September 2026.