Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1134160740
Practice Locations (2)
PAWNEE INDIAN HEALTH CENTER
1201 HERITAGE CIR
PAWNEE, OK 740583744
9187622517
EHP OF PONCA CITY LLC
1900 N 14TH ST
PONCA CITY, OK 746012035
5807653321
Source: CMS National Downloadable File, September 2026.