Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1124092960
Practice Locations (2)
1121 NEO LOOP
GROVE, OK 743446046
9187864664
1121 NEO LOOP, SUITE A
GROVE, OK 743446046
Source: CMS National Downloadable File, September 2026.