Graduated: 2003
NPI: 1962577866
Practice Locations (2)
TANANA CHIEFS CONFERENCE
1717 W COWLES ST
FAIRBANKS, AK 997015926
9074516682
COMANCHE COUNTY MEDICAL CENTER COMPANY
10201 HWY 16
COMANCHE, TX 764424462
2548794900
Source: CMS National Downloadable File, September 2026.