Graduated: 2015
NPI: 1093199721
Practice Locations (2)
TAHLEQUAH MEDICAL GROUP LLC
1373 E BOONE STREET, SUITE 1201
TAHLEQUAH, OK 766463330
9182071189
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
Source: CMS National Downloadable File, September 2026.