Graduated: 2001
NPI: 1669552550
Practice Locations (2)
SPINE AND SPORTS INJURY CENTER, LLC
1001 E BOGARD RD
WASILLA, AK 996547114
9073732225
COTTONWOOD CREEK CLINIC LLC
3600 E WICKERSHAM WAY
WASILLA, AK 996547550
9073735950
Source: CMS National Downloadable File, September 2026.