Graduated: 1993
NPI: 1841370889
Practice Locations (3)
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
1209 MOUNTAIN RD PL NE
ALBUQUERQUE, NM 871107845
5054000978
Source: CMS National Downloadable File, September 2026.