Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1972
NPI: 1740253129
Practice Locations (2)
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
1111 S ST LOUIS AVE
TULSA, OK 74120
9186194400
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
591 E 36TH ST N, OU PHYSICIANS TULSA WAYMAN TISDALE CLINIC
TULSA, OK 741061812
9186198700
Source: CMS National Downloadable File, September 2026.