Graduated: 1982
NPI: 1285775759
Practice Locations (2)
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC
15951 LITTLE AXE DR
NORMAN, OK 730269088
4054470300
STATE OF OKLAHOMA
1222 10TH ST, 211 NCBH CMHC
WOODWARD, OK 738013156
5805713235
Source: CMS National Downloadable File, September 2026.