Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1996
NPI: 1194747493
Practice Locations (1)
GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
3200 CANYON LAKE DR
RAPID CITY, SD 577028114
60535525002356
Source: CMS National Downloadable File, September 2026.