Medical school: PHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated: 2020
NPI: 1861048530
Practice Locations (3)
TANANA VALLEY CLINIC LLC
1001 NOBLE ST
FAIRBANKS, AK 997014948
9074593500
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015998
TANANA VALLEY CLINIC LLC
1650 COWLES ST, SUITE 542
FAIRBANKS, AK 997015998
Source: CMS National Downloadable File, September 2026.