Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1989
NPI: 1114923794
Practice Locations (2)
OSUMC PROFESSIONAL SERVICES LLC
744 W 9TH ST, OK STATE UNIV MED CNTR
TULSA, OK 741279020
OSUMC PROFESSIONAL SERVICES LLC
9645 RIVERSIDE PKWY, SUITE C
TULSA, OK 741377427
9182095170
Source: CMS National Downloadable File, September 2026.