Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1991
NPI: 1639208937
Practice Locations (2)
1524 W OKMULGEE ST
MUSKOGEE, OK 744016741
9186825397
1524 W OKMULGEEE
MUSKOGEE, OK 744016741
Source: CMS National Downloadable File, September 2026.