Medical school: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated: 1994
NPI: 1548218803
Practice Locations (2)
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
TAHLEQUAH MEDICAL GROUP LLC
1500 E DOWNING ST, SUITE 103
TAHLEQUAH, OK 744643354
9184560655
Source: CMS National Downloadable File, September 2026.