Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1104912807
Practice Locations (1)
SOUTH CENTRAL FAMILY PRACTICE CLINIC PC
3500 LATOUCHE ST, SUITE 301
ANCHORAGE, AK 995084261
9075311740
Source: CMS National Downloadable File, September 2026.