Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1995
Offers telehealth
NPI: 1851406664
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
3909 NEW VISION DR, PPG PYSCHIATRY
FORT WAYNE, IN 468451725
2603738000
Source: CMS National Downloadable File, September 2026.