Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1995
NPI: 1447273461
Practice Locations (1)
AHS PRYOR HOSPITAL, LLC
562 S ELLIOTT ST, UTICA PARK CLINIC ELLIOTT
PRYOR, OK 743616411
9188256334
Source: CMS National Downloadable File, September 2026.