Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
NPI: 1336168236
Practice Locations (3)
NORMAN REGIONAL PROVIDERS PRIMARY CARE
2605 SW 119TH ST A, PRIMARY CARE
OKLAHOMA CITY, OK 731702601
4059123400
NORMAN REGIONAL PROVIDERS PRIMARY CARE
2605 SW 119TH ST B, CHIROPRACTIC AND WELLNESS CLINIC
OKLAHOMA CITY, OK 731702601
4059123900
FAMILY HEALTH CENTER OF MARSHFIELD INC
630 S CENTRAL AVE, SUITE 600B
MARSHFIELD, WI 544494196
8779980024
Source: CMS National Downloadable File, September 2026.