Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1104904879
Practice Locations (4)
PERMANENTE MEDICAL GROUP INC
1600 EUREKA RD
ROSEVILLE, CA 956613027
9167844000
PERMANENTE MEDICAL GROUP INC
1643 EUREKA RD
ROSEVILLE, CA 956613027
9169735300
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
HAWAII PERMANENTE MEDICAL GROUP INC
3288 MOANALUA RD
HONOLULU, HI 968191469
8084320000
Source: CMS National Downloadable File, September 2026.