Graduated: 2016
NPI: 1255880266
Practice Locations (5)
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
PROVIDENCE MEDICAL FOUNDATION
2710 DOLBEER ST
EUREKA, CA 955014736
7072672060
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
1497 W ELK AVE
ELIZABETHTON, TN 376432896
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
1420 TUSCULUM BLVD
GREENEVILLE, TN 377454279
Source: CMS National Downloadable File, September 2026.