Graduated: 2003
NPI: 1043280100
Practice Locations (4)
NORTHEASTERN HEALTH SYSTEM
1373 E BOONE ST
TAHLEQUAH, OK 744643365
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
NORTHEASTERN HEALTH SYSTEM
1500 E DOWNING ST, SUITE 103
TAHLEQUAH, OK 744643354
9182071410
NORTHEASTERN HEALTH SYSTEM
205 HARRIS CIR
TAHLEQUAH, OK 744648849
9184560641
Source: CMS National Downloadable File, September 2026.