Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 2011
NPI: 1316232945
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
SWOPE MEDICAL GROUP INC
155 GLASSON WAY
GRASS VALLEY, CA 959455723
5302746001
Source: CMS National Downloadable File, September 2026.