Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
NPI: 1184614919
Practice Locations (3)
1145 S UTICA AVE, SUITE 110
TULSA, OK 741044011
1145 S UTICA AVE, SUITE 110
TULSA, OK 741044013
7912 E 31ST CT
TULSA, OK 741451334
Source: CMS National Downloadable File, September 2026.