Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1043367634
Practice Locations (1)
FAIRBANKS PSYCHIATRIC AND NEUROLOGICAL CLINIC A PROF CORP
1919 LATHROP ST, SUITE 220
FAIRBANKS, AK 997015942
9074521739
Source: CMS National Downloadable File, September 2026.