Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2022
NPI: 1134837172
Practice Locations (3)
11260 OLD SEWARD HWY
Anchorage, AK 995153098
PO BOX, SUITE 110171
ANCHORAGE, AK 99511
10429 SOLAR WAY
Charlotte, NC 282786739
Source: CMS National Downloadable File, September 2026.