Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1995
NPI: 1881818417
Practice Locations (2)
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
Source: CMS National Downloadable File, September 2026.