Graduated: 1986
NPI: 1790720456
Practice Locations (3)
ST. JOHN PHYSICIANS, INC.
12455 E 100TH ST N, SUITE 220
OWASSO, OK 740554675
9182745555
ST. JOHN PHYSICIANS, INC.
1705 E 19TH ST
TULSA, OK 741045410
1919 S WHEELING AVE, SUITE 300
TULSA, OK 741045632
9187940701
Source: CMS National Downloadable File, September 2026.