Graduated: 1994
NPI: 1093949885
Practice Locations (3)
MANGUM CITY HOSPITAL AUTHORITY
1 WICKERSHAM ST
MANGUM, OK 735549117
5807823353
MANGUM CITY HOSPITAL AUTHORITY
118 S LOUIS TITTLE AVE
MANGUM, OK 735544441
5807823353
MANGUM CITY HOSPITAL AUTHORITY
118 S LOUIS TITTLE AVE, MANGUM CLINIC
MANGUM, OK 735544441
5807823353
Source: CMS National Downloadable File, September 2026.