Graduated: 1993
NPI: 1730146754
Practice Locations (3)
LA PAZ REGIONAL HOSPITAL INC
150 E TYSON RD
QUARTZSITE, AZ 853590000
9286697498
PONCA TRIBE OF NEBRASKA
2602 J ST
OMAHA, NE 681071643
4027383158
PONCA TRIBE OF NEBRASKA
2602 J ST, FRED LEROY HEALTH AND WELLNESS CENTER
OMAHA, NE 681071643
Source: CMS National Downloadable File, September 2026.