Graduated: 2021
NPI: 1255918769
Practice Locations (2)
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1200 B GALE WILSON BLVD
FAIRFIELD, CA 945333552
7074293600
PACIFIC REDWOOD MEDICAL GROUP INC
275 HOSPITAL DR
UKIAH, CA 954824531
7074623111
Source: CMS National Downloadable File, September 2026.