Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
NPI: 1336326206
Practice Locations (1)
AHS OKLAHOMA PHYSICIAN GROUP LLC
8803 S 101ST E AVE, SUITE 130
TULSA, OK 741335728
9185740220
Source: CMS National Downloadable File, September 2026.