Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1985
Also: FAMILY PRACTICE
NPI: 1962502575
Practice Locations (1)
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC
15702 E STATE HWY 9
NORMAN, OK 730269001
4054470477
Source: CMS National Downloadable File, September 2026.