Graduated: 1997
NPI: 1639156268
Practice Locations (2)
SOUTHCENTRAL FOUNDATION
101 AIRPORT RD, NILAVENA SUBREGIONAL CLINIC
ILIAMNA, AK 99606
9075711818
SOUTHCENTRAL FOUNDATION
1008 MAIN ST, KOKHANOK CLINIC
KOCKHANOK, AK 99606
9072822203
Source: CMS National Downloadable File, September 2026.