Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1985
NPI: 1184661977
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
5915 W MEMORIAL RD, 300 INTEGRIS FAM CARE MEM W
OKLAHOMA CITY, OK 731422022
4057736470
Source: CMS National Downloadable File, September 2026.