Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1407932932
Practice Locations (7)
PERMANENTE MEDICAL GROUP INC
1721 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
1777 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
1779 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
1789 W YOSEMITE AVE
MANTECA, CA 953375130
2098253700
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
PERMANENTE MEDICAL GROUP INC
975 SERENO DR
VALLEJO, CA 945892441
7076511000
Source: CMS National Downloadable File, September 2026.