Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 1986
NPI: 1497762280
Practice Locations (3)
3401 W BROADWAY
MUSKOGEE, OK 744012136
9186875477
3401 W BROADWAY ST
MUSKOGEE, OK 744012136
3501 W BROADWAY
MUSKOGEE, OK 744012136
9186875477
Source: CMS National Downloadable File, September 2026.