Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1977
NPI: 1558337741
Practice Locations (1)
TANANA CHIEFS CONFERENCE
1717 W COWLES ST
FAIRBANKS, AK 997015926
9074516682
Source: CMS National Downloadable File, September 2026.