Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1969
NPI: 1104828359
Practice Locations (3)
305 S 5TH ST
ENID, OK 737015832
5805485010
1000 N LEE AVE
OKLAHOMA CITY, OK 731021036
4052724200
ALLIED WOUNDCARE CENTER LLC
8324 S WALKER AVE
OKLAHOMA CITY, OK 731399450
4054736866
Source: CMS National Downloadable File, September 2026.