Graduated: 2019
NPI: 1881251189
Practice Locations (3)
1408 FORT CROOK RD S, SUITE 339
BELLEVUE, NE 680053061
4025819786
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.