Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1386617017
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
200 2ND AVE SW, INTEGRIS BRAP HOSPITALISTS GRP
MIAMI, OK 743546830
9185426611
Source: CMS National Downloadable File, September 2026.