Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 2012
NPI: 1124382189
Practice Locations (1)
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
591 E 36TH ST N, OU PHYSICIANS TULSA WAYMAN TISDALE CLINIC
TULSA, OK 741061812
9186198700
Source: CMS National Downloadable File, September 2026.