Graduated: 1987
NPI: 1568579308
Practice Locations (2)
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC
15951 LITTLE AXE DR
NORMAN, OK 730269088
4054470300
4200 W MEMORIAL RD, SUITE 501
OKLAHOMA CITY, OK 731208359
4057499889
Source: CMS National Downloadable File, September 2026.