Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1255395984
Practice Locations (4)
1139 36TH AVE NW
NORMAN, OK 730724103
1139 36TH AVE NW, SUITE 100
NORMAN, OK 730724104
15951 LITTLE AXE DR
NORMAN, OK 730269088
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC
15951 LITTLE AXE DR
NORMAN, OK 730269088
4054470300
Source: CMS National Downloadable File, September 2026.