Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1285840660
Practice Locations (2)
TAHLEQUAH MEDICAL GROUP LLC
1373 E BOONE STREET, SUITE 2300
TAHLEQUAH, OK 744643330
9184560655
CHOCTAW NATION OF OKLAHOMA
1 CHOCTAW WAY
TALIHINA, OK 745712022
9185677000
Source: CMS National Downloadable File, September 2026.