Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1225095862
Practice Locations (2)
2221 NW 44TH CT
OKLAHOMA CITY, OK 731128385
4055069101
3400 NW EXPRESSWAY, SUITE 420
OKLAHOMA CITY, OK 731124491
Source: CMS National Downloadable File, September 2026.