Graduated: 1980
NPI: 1497771109
Practice Locations (2)
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015907
9074593500
POLAR WIND MEDICAL CENTER INC
1867 AIRPORT WAY, SUITE 140A
FAIRBANKS, AK 997014055
9074579355
Source: CMS National Downloadable File, September 2026.