Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1306807011
Practice Locations (2)
307 A S LOCUST ST
NOWATA, OK 740483622
9182732761
307 AS LOCUST ST
NOWATA, OK 740483622
Source: CMS National Downloadable File, September 2026.