Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1987
Offers telehealth
NPI: 1316926728
Practice Locations (1)
STILLWATER MEDICAL CENTER AUTHORITY
1815 W 6TH AVE, STILLWATER MED C CLINIC W
STILLWATER, OK 740742402
4057437300
Source: CMS National Downloadable File, September 2026.