Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2002
NPI: 1003014077
Practice Locations (1)
CHOCTAW NATION OF OKLAHOMA
1127 S GEORGE NIGH EXPY, CHOCTAW NATION HEALTH CARE MCALESTER
MCALESTER, OK 745017143
9185677000
Source: CMS National Downloadable File, September 2026.