Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 1973
NPI: 1013003938
Practice Locations (1)
YAKUTAT TRIBAL HEALTH BOARD
115 AIRPORT WAY, YAKUTAT COMMUNITY HOSPITAL
YAKUTAT, AK 996890112
9077843275
Source: CMS National Downloadable File, September 2026.