Graduated: 2022
NPI: 1316671514
Practice Locations (2)
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
4320 DIPLOMACY DR
ANCHORAGE, AK 995085925
9072654955
SOUTHCENTRAL FOUNDATION
6901 E TUDOR RD, 8 ELDERS PROGRAM CLINIC
ANCHORAGE, AK 995071254
9077296500
Source: CMS National Downloadable File, September 2026.