Graduated: 1999
NPI: 1356446397
Practice Locations (2)
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015907
9074593500
ANESTHESIA CONSULTANTS OF FAIRBANKS LLC
2310 PEGER RD
FAIRBANKS, AK 997095305
4694373564
Source: CMS National Downloadable File, September 2026.