Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1508831447
Practice Locations (1)
ARCHWELL HEALTH PROFESSIONAL SERVICES OF OKLAHOMA LLC
7313 S WESTERN AVE, ARCHWELL HEALTH SOUTHWESTERN
OKLAHOMA CITY, OK 731392007
4052518884
Source: CMS National Downloadable File, September 2026.