Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1993
NPI: 1457431082
Practice Locations (1)
ST MARYS PHYSICIAN ASSOCIATES LLC
330 S 5TH ST, 301 ST MARYS ORTHOPAEDIC CLINIC
ENID, OK 737015825
5802493468
Source: CMS National Downloadable File, September 2026.