Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1977
NPI: 1629040506
Practice Locations (3)
1122 NE 13TH ST, ORI274J
OKLAHOMA CITY, OK 731171039
4120 W MEMORIAL RD, SUITE 218
OKLAHOMA CITY, OK 731209322
4401 W MEMORIAL RD
OKLAHOMA CITY, OK 731341787
Source: CMS National Downloadable File, September 2026.