Medical school: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated: 1977
NPI: 1386753945
Practice Locations (1)
COMMUNITY HEALTH CENTERS, INC.
12716 NE 36TH ST, MARY MAHONEY MEM HLTH CTR
SPENCER, OK 730849167
4057693301
Source: CMS National Downloadable File, September 2026.