Medical school: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated: 1992
Also: GENERAL PRACTICE
NPI: 1518901321
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES WASHINGTON
1915 E REZANOF DR
KODIAK, AK 996156602
9074863281
CITY OF VALDEZ
911 MEALS AVE
VALDEZ, AK 996860046
9078352249
Source: CMS National Downloadable File, September 2026.