Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2018
NPI: 1023507464
Practice Locations (5)
PROVIDENCE MEDICAL INSTITUTE
GLENDALE, CA 91202
PROVIDENCE MEDICAL INSTITUTE
20911 EARL ST, SUITE 220
TORRANCE, CA 905034353
3105409600
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 905034607
3103037496
PARK NICOLLET CLINIC
5320 HYLAND GREENS DR
BLOOMINGTON, MN 554373934
9529932400
PARK NICOLLET CLINIC
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 554264702
9529933123
Source: CMS National Downloadable File, September 2026.