Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
Also: GENERAL PRACTICE
NPI: 1912902842
Practice Locations (2)
307 E DANFORTH RD, SUITE 154
EDMOND, OK 730344487
4052160100
702 W BROADWAY AVE
ENID, OK 737013845
5802344861
Source: CMS National Downloadable File, September 2026.