Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1225004401
Practice Locations (2)
KODIAK ISLAND HEALTH CARE FOUNDATION
1911 E REZANOF DR
KODIAK, AK 996156602
9074815000
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1915 E REZANOF DR
KODIAK, AK 996156602
9074863281
Source: CMS National Downloadable File, September 2026.