Graduated: 2013
NPI: 1306268628
Practice Locations (2)
TANANA CHIEFS CONFERENCE
1717 W COWLES ST
FAIRBANKS, AK 997015926
9074516682
CASPER GENERAL SURGERY LLC
1540 CENTENNIAL CT, UNIT 300
CASPER, WY 826097310
3073374981
Source: CMS National Downloadable File, September 2026.