Graduated: 2017
NPI: 1710411517
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES- WASHINGTON
1201 E 36TH AVE
ANCHORAGE, AK 995084372
9075629229
NORTON SOUND HEALTH CORPORATION
1000 GREG KRUSCHEK AVE
NOME, AK 997620966
9074433311
Source: CMS National Downloadable File, September 2026.