Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1366434300
Practice Locations (2)
1101 S BELMONT, SUITE 204
OKMULGEE, OK 74447
1101 S BELMONT AVE, SUITE 204
OKMULGEE, OK 744476315
Source: CMS National Downloadable File, September 2026.