Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1994
Offers telehealth
NPI: 1164422663
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
12001 BUSINESS BLVD, SUITE 3B
EAGLE RIVER, AK 995777743
9072123420
Source: CMS National Downloadable File, September 2026.