Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1649366998
Practice Locations (2)
3280 MARSHALL AVE
NORMAN, OK 730728022
4055795858
STATE OF OKLAHOMA
909 ALAMEDA ST
NORMAN, OK 730715229
4053605100
Source: CMS National Downloadable File, September 2026.