Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1639161995
Practice Locations (3)
2300 36TH AVE NW, SUITE 110
Norman, OK 730722922
2300 36TH AVE NW
NORMAN, OK 730722922
2300 36TH AVE NW, SUITE 110
NORMAN, OK 730722922
4055797664
Source: CMS National Downloadable File, September 2026.