Graduated: 2004
NPI: 1164407409
Practice Locations (2)
ANESTHESIA CONSULTANTS OF FAIRBANKS LLC
2310 PEGER RD
FAIRBANKS, AK 997095305
4694373564
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
516 E NIZHONI BLVD
GALLUP, NM 873015748
5057221000
Source: CMS National Downloadable File, September 2026.