Graduated: 2025
NPI: 1720979263
Practice Locations (4)
7033 E TUDOR RD
ANCHORAGE, AK 995071262
200 1ST AVE
FAIRBANKS, AK 997014805
725 W TOWN AND COUNTRY RD
ORANGE, CA 928684703
PO BOX, SUITE 39035
BELFAST, ME 049151232
Source: CMS National Downloadable File, September 2026.