Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1750307450
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
3760 PIPER ST, SUITE 1108A
ANCHORAGE, AK 995084683
9072126900
920 E 72ND AVE
ANCHORAGE, AK 995182810
9072220753
Source: CMS National Downloadable File, September 2026.