Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1975
NPI: 1275641367
Practice Locations (1)
TAHLEQUAH MEDICAL GROUP LLC
1373 E BOONE STREET, SUITE 2300
TAHLEQUAH, OK 744643330
9184560655
Source: CMS National Downloadable File, September 2026.