Graduated: 2014
NPI: 1114309317
Practice Locations (2)
CITIZEN POTAWATOMI NATION
2307 GORDON COOPER DR
SHAWNEE, OK 748019007
4052735236
CITIZEN POTAWATOMI NATION
781 GRAND CASINO BLVD
SHAWNEE, OK 748041005
4059644025
Source: CMS National Downloadable File, September 2026.