Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 1990
NPI: 1710958012
Practice Locations (1)
GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
3200 CANYON LAKE DR
RAPID CITY, SD 577028114
60535525002356
Source: CMS National Downloadable File, September 2026.