Graduated: 2002
NPI: 1649246331
Practice Locations (2)
NORMAN REGIONAL PROVIDERS PRIMARY CARE
2605 SW 119TH ST A, PRIMARY CARE
OKLAHOMA CITY, OK 731702601
4059123400
NORMAN REGIONAL PROVIDERS PRIMARY CARE
2605 SW 119TH ST B, CHIROPRACTIC AND WELLNESS CLINIC
OKLAHOMA CITY, OK 731702601
4059123900
Source: CMS National Downloadable File, September 2026.