Graduated: 2018
NPI: 1164076741
Practice Locations (3)
U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES
107 H ST, P O BOX 67
POPLAR, MT 592550067
U S HEALTH DEPT OF HEALTH AND HUMAN SERVICES
107 H ST E, P O BOX 67
POPLAR, MT 592550067
GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
3200 CANYON LAKE DR
RAPID CITY, SD 577028114
60535525002356
Source: CMS National Downloadable File, September 2026.