Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1989
NPI: 1326043803
Practice Locations (1)
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER INC
2403 W WRANGLER BLVD, SUITE A
SEMINOLE, OK 748681900
5804365111
Source: CMS National Downloadable File, September 2026.