Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2000
NPI: 1629040480
Practice Locations (7)
PROVIDENCE MEDICAL FOUNDATION
2773 HARRIS ST, SUITE A
EUREKA, CA 955034866
7072672070
SAN JUAN REGIONAL MEDICAL CENTER, INC.
407 S SCHWARTZ AVE, 202 SJRMC HEART CENTER
FARMINGTON, NM 874015925
5056096770
LAS CRUCES PHYSICIAN SERVICES LLC
1135 S MAIN ST, SUITE B
LAS CRUCES, NM 880052946
5055254000
LAS CRUCES PHYSICIAN SERVICES LLC
4351 E LOHMAN AVE
LAS CRUCES, NM 880118260
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1040 NW 22ND AVE, SUITE 660
PORTLAND, OR 972103083
5034137162
LEGACY CLINICS LLC
501 N GRAHAM ST, SUITE 200
PORTLAND, OR 972272000
5034134488
LEGACY MERIDIAN PARK HOSPITAL
19300 SW 65TH AVE
TUALATIN, OR 970627706
5036922500
Source: CMS National Downloadable File, September 2026.