Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2005
Offers telehealth
NPI: 1801090717
Practice Locations (1)
NORMAN REGIONAL PROVIDERS PRIMARY CARE
2605 SW 119TH ST A, PRIMARY CARE
OKLAHOMA CITY, OK 731702601
4059123400
Source: CMS National Downloadable File, September 2026.