Graduated: 2012
NPI: 1033183595
Practice Locations (2)
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
24276 166TH AIRPORT RD
EAGLE BUTTE, SD 576251022
60596477240515
EAGLE BUTTE INDIAN HEALTH SERVICE HOSPITAL
PO BOX, SUITE 1012
EAGLE BUTTE, SD 576251012
Source: CMS National Downloadable File, September 2026.