Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1985
Also: GENERAL PRACTICE, HOSPICE/PALLIATIVE CARE
NPI: 1588756951
Practice Locations (1)
OSUMC PROFESSIONAL SERVICES LLC
9645 RIVERSIDE PKWY, SUITE C
TULSA, OK 741377427
9182095170
Source: CMS National Downloadable File, September 2026.