Graduated: 1964
NPI: 1487627238
Practice Locations (3)
10413 S YALE AVE
TULSA, OK 741376065
145 NORTHGATE DR
CAMP HILL, PA 170111321
7177747351
3103 PHILMONT AVE, SUITE 100
HUNTINGDON VALLEY, PA 190064263
2159671079
Source: CMS National Downloadable File, September 2026.