Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1981
NPI: 1306843248
Practice Locations (1)
MERCY OKLAHOMA AMBULATORY SERVICES LLC
1121 NW 63RD ST, SUITE 5001
NICHOLS HILLS, OK 731166504
4056520632
Source: CMS National Downloadable File, September 2026.