Graduated: 2011
NPI: 1114205994
Practice Locations (2)
CHICKASAW NATION DIVISION OF HEALTH
1921 STONECIPHER DR
ADA, OK 748203439
5804363980
CHICKASAW NATION DIVISION OF HEALTH
1438 HARDCASTLE BLVD
PURCELL, OK 730808233
4055274700
Source: CMS National Downloadable File, September 2026.