Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1861464752
Practice Locations (1)
ABSENTEE SHAWNEE TRIBAL HEALTH AUTHORITY, INC
15951 LITTLE AXE DR
NORMAN, OK 730269088
4054470300
Source: CMS National Downloadable File, September 2026.