Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1991
Offers telehealth
NPI: 1497786057
Practice Locations (1)
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
591 E 36TH ST N, OU PHYSICIANS TULSA WAYMAN TISDALE CLINIC
TULSA, OK 741061812
9186198700
Source: CMS National Downloadable File, September 2026.