Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1962558833
Practice Locations (3)
MAT-SU VALLEY III LLC
2490 S WOODWORTH LOOP
PALMER, AK 996457407
MAT-SU VALLEY III LLC
2500 S WOODWORTH LOOP
PALMER, AK 996458984
9078616000
MAT-SU VALLEY III LLC
950 E BOGARD RD
WASILLA, AK 996547172
9078640260
Source: CMS National Downloadable File, September 2026.