Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2005
NPI: 1780723916
Practice Locations (2)
16212 SONOMA PARK DR
EDMOND, OK 730132117
1145 W I-240 SERVICE RD, SUITE F100
OKLAHOMA CITY, OK 731392134
Source: CMS National Downloadable File, September 2026.