Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1993
NPI: 1255334967
Practice Locations (3)
600 W 15TH ST
EDMOND, OK 730133617
4053409251
3001 S TELEPHONE RD, SUITE B
MOORE, OK 731602942
3001 S TELEPHONE RD B
MOORE, OK 731602942
4057946691
Source: CMS National Downloadable File, September 2026.