Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1994
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1437141793
Practice Locations (1)
SOUTHERN COOS HEALTH DISTRICT
900 11TH ST SE
BANDON, OR 974119114
5413472426
Source: CMS National Downloadable File, September 2026.