Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1376560904
Practice Locations (2)
FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY
523 E STATE RD
FAIRVIEW, OK 737371453
5802273721
FAIRVIEW REGIONAL MEDICAL CENTER AUTHORITY
523 E STATE RD, FAIRVIEW REGIONAL MEDICAL CENTER
FAIRVIEW, OK 737371453
Source: CMS National Downloadable File, September 2026.