Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1275508186
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
2821 N VAN BUREN ST A, INTEGRIS SPECIALTY CARE OF ENID
ENID, OK 737031729
5802139799
Source: CMS National Downloadable File, September 2026.