Graduated: 2010
Offers telehealth
NPI: 1669775490
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
2773 HARRIS ST
EUREKA, CA 955034866
PROVIDENCE MEDICAL FOUNDATION
3307 RENNER DR
FORTUNA, CA 955403119
7144494800
PROVIDENCE MEDICAL FOUNDATION
1165 MONTGOMERY DR
SANTA ROSA, CA 954054801
7075463210
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
Source: CMS National Downloadable File, September 2026.