Graduated: 1976
NPI: 1700066560
Practice Locations (2)
SOUTHCENTRAL FOUNDATION
400 W BENSON BLVD, BH ICM
ANCHORAGE, AK 995033829
9077296799
SOUTHCENTRAL FOUNDATION
4320 DIPLOMACY DR
ANCHORAGE, AK 995085925
9077292583
Source: CMS National Downloadable File, September 2026.