Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1801888441
Practice Locations (3)
CHOCTAW NATION OF OKLAHOMA
1801 CHUKKAHINA
DURANT, OK 747017117
580916914083828
CHOCTAW NATION OF OKLAHOMA
1 CHOCTAW WAY
TALIHINA, OK 745712022
9185677000
CHOCTAW NATION OF OKLAHOMA
ONE CHOCTAW WAY
TALIHINA, OK 745712022
Source: CMS National Downloadable File, September 2026.