Graduated: 1990
NPI: 1497798813
Practice Locations (3)
MAT-SU VALLEY III LLC
2500 S WOODWORTH LOOP
PALMER, AK 996458984
9078616000
MAT-SU VALLEY III LLC
950 E BOGARD RD
WASILLA, AK 996547172
9078640260
HEART CENTER OF NEVADA
700 SHADOW LN, SUITE 240
LAS VEGAS, NV 891064158
7023840022
Source: CMS National Downloadable File, September 2026.