Graduated: 2019
NPI: 1215466081
Practice Locations (2)
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015907
9074593500
SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
222 TONGASS DR
SITKA, AK 998359416
9079662411
Source: CMS National Downloadable File, September 2026.