Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2019
NPI: 1801351457
Practice Locations (2)
TRA-MINW P S
4285 POLAR FOX LOOP
NORTH POLE, AK 997057059
2537614200
MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE
4285 POLAR FOX LOOP
NORTH POLE, AK 997057059
2517614200
Source: CMS National Downloadable File, September 2026.