Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1396893749
Practice Locations (2)
STATE OF ALASKA DEPARTMENT OF ADMINISTRATION
3700 PIPER ST
ANCHORAGE, AK 995084665
9072697100
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015907
9074593500
Source: CMS National Downloadable File, September 2026.