Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1174540520
Practice Locations (2)
SUTTER VALLEY MEDICAL FOUNDATION
1700 COFFEE RD
MODESTO, CA 953552803
2095264500
SUTTER VALLEY MEDICAL FOUNDATION
600 COFFEE RD
MODESTO, CA 953554201
2095241211
Source: CMS National Downloadable File, September 2026.