Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1997
Also: FAMILY PRACTICE
NPI: 1710931613
Practice Locations (1)
TANANA VALLEY CLINIC LLC
1919 LATHROP ST
FAIRBANKS, AK 997015937
9074593500
Source: CMS National Downloadable File, September 2026.