Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1356430565
Practice Locations (2)
KEWEENAW BAY INDIAN COMMUNITY
102 S SUPERIOR AVE
BARAGA, MI 499089673
9063536623
CHOCTAW NATION OF OKLAHOMA
1 CHOCTAW WAY
TALIHINA, OK 745712022
9185677000
Source: CMS National Downloadable File, September 2026.