Medical school: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1801976949
Practice Locations (2)
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015907
9074593500
UNIVERSITY OF VERMONT MEDICAL CENTER INC
111 COLCHESTER AVE
BURLINGTON, VT 054011473
8028470000
Source: CMS National Downloadable File, September 2026.