Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2005
NPI: 1528275864
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2675 HARRIS ST
EUREKA, CA 955034806
7072690644
FIRST CHOICE PHYSICIAN PARTNERS
1150 M INDIAN CANYON DR
PALM SPRINGS, CA 922624872
7603236511
Source: CMS National Downloadable File, September 2026.