Graduated: 2002
NPI: 1275635500
Practice Locations (2)
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
EAST HWY 18
PINE RIDGE, SD 577701201
6058673032
PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL
210 E 1ST ST
WANBLEE, SD 575770290
6054626155
Source: CMS National Downloadable File, September 2026.