Graduated: 2018
NPI: 1669125753
Practice Locations (2)
TAHLEQUAH MEDICAL GROUP LLC
1323 W KEETOOWAH ST
TAHLEQUAH, OK 744643462
9189313890
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH, OK 744643324
9184560641
Source: CMS National Downloadable File, September 2026.