Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1508949439
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
1201 E 36TH AVE
ANCHORAGE, AK 995084372
9075629229
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1915 E REZANOF DR
KODIAK, AK 996156602
9074863281
Source: CMS National Downloadable File, September 2026.