Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2002
Also: PEDIATRIC MEDICINE
NPI: 1427034792
Practice Locations (2)
1900 N, 14TH
PONCA CITY, OK 746012035
5807653321
427 FAIRVIEW AVE
PONCA CITY, OK 746011923
5807659299
Source: CMS National Downloadable File, September 2026.