Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
NPI: 1104814045
Practice Locations (1)
SKIN SURGERY CENTER OF OKLAHOMA, P.C.
13100 N WESTERN AVE, SUITE 301
OKLAHOMA CITY, OK 731141432
4059476647
Source: CMS National Downloadable File, September 2026.