Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2001
NPI: 1285634469
Practice Locations (2)
207 S 30TH ST
CLINTON, OK 736013657
5803235800
1925 W 3RD ST, SUITE 3
ELK CITY, OK 736444303
5802259955
Source: CMS National Downloadable File, September 2026.