Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
NPI: 1922099217
Practice Locations (1)
INTEGRIS AMBULATORY CARE CORPORATION
4401 S WESTERN, WOUND CARE CLINIC
OKLAHOMA CITY, OK 731093413
4056367000
Source: CMS National Downloadable File, September 2026.