Graduated: 2017
NPI: 1306349956
Practice Locations (2)
PONCA TRIBE OF NEBRASKA
2602 J ST
OMAHA, NE 681071643
4027383158
PONCA TRIBE OF NEBRASKA
2602 J ST, FRED LEROY HEALTH AND WELLNESS CENTER
OMAHA, NE 681071643
Source: CMS National Downloadable File, September 2026.