Graduated: 1978
NPI: 1598773632
Practice Locations (3)
2801 EUREKA WAY
Redding, CA 960010222
SHASTA REGIONAL MEDICAL GROUP INC
1100 BUTTE ST
REDDING, CA 960010852
5306054260
2801 EUREKA WAY
REDDING, CA 960010222
5302469000
Source: CMS National Downloadable File, September 2026.