Graduated: 1997
NPI: 1912998857
Practice Locations (2)
SOUTHSIDE DERMATOLOGY PLLC
333 S 38TH ST, SUITE E
MUSKOGEE, OK 744014937
9187600700
SOUTHSIDE DERMATOLOGY PLLC
720 W 71ST ST
TULSA, OK 741321825
9187600700
Source: CMS National Downloadable File, September 2026.