Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1194791608
Practice Locations (1)
6802 S OLYMPIA AVE, SUITE 250
TULSA, OK 741321827
9184816494
Source: CMS National Downloadable File, September 2026.
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Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1990
NPI: 1194791608
6802 S OLYMPIA AVE, SUITE 250
TULSA, OK 741321827
9184816494
Source: CMS National Downloadable File, September 2026.