Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
NPI: 1093789661
Practice Locations (3)
80 B VETERANS BLVD
ACOMA, NM 87034
PO BOX, SUITE 40
SAN FIDEL, NM 870490040
101 S MOORE AVE
CLAREMORE, OK 740175047
Source: CMS National Downloadable File, September 2026.