Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1386731768
Practice Locations (2)
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1200 B GALE WILSON BLVD
FAIRFIELD, CA 945333552
7074293600
NORTHBAY HEALTH MEDICAL FOUNDATION
1860 PENNSYLVANIA AVE
FAIRFIELD, CA 945333590
7076464114
Source: CMS National Downloadable File, September 2026.