Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1235173253
Practice Locations (1)
MANIILAQ ASSOCIATION
436 5TH AND TED STEVENS WAY, MANIILAQ HEALTH CENTER
KOTZEBUE, AK 997520043
9074423321
Source: CMS National Downloadable File, September 2026.