Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1991
NPI: 1356307458
Practice Locations (1)
ORTHOPEDIC AND SPORTSMEDICINE CLINIC OF FAIRBANKS LLC
2310 PEGER RD, SUITE 105
FAIRBANKS, AK 997095305
9074792663
Source: CMS National Downloadable File, September 2026.