Graduated: 2017
NPI: 1255851523
Practice Locations (2)
TAHLEQUAH MEDICAL GROUP LLC
1373 E BOONE STREET, SUITE 2300
TAHLEQUAH, OK 744643330
9184560655
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
Source: CMS National Downloadable File, September 2026.