Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1992
NPI: 1619992823
Practice Locations (1)
VITUITY - URGENT CARE SERVICES PC
4062 FLYING C RD, SUITE 41
CAMERON PARK, CA 956829664
5306768234
Source: CMS National Downloadable File, September 2026.