Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
NPI: 1801867965
Practice Locations (4)
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
4444 E 41ST ST
TULSA, OK 741352527
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
4502 E 41S ST 2, GO8
TULSA, OK 741352527
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.