Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1265434997
Practice Locations (3)
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK 731121670
4059494029
5501 N PORTLAND
OKLAHOMA CITY, OK 731121670
4056046000
5701 N PORTLAND AVE, SUITE 201
OKLAHOMA CITY, OK 731121670
4059496420
Source: CMS National Downloadable File, September 2026.