Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1467611988
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2826 HARRIS ST
EUREKA, CA 955034809
7074438066
BANNER HEALTH
1680 BUNYAN RD
SUSANVILLE, CA 961303133
5302575730
Source: CMS National Downloadable File, September 2026.