Graduated: 2023
NPI: 1689371700
Practice Locations (7)
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
PROVIDENCE MEDICAL FOUNDATION
2710 DOLBEER ST
EUREKA, CA 955014736
7072672060
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
NORTHEAST MEDICAL GROUP INC
300 SEASIDE AVE
MILFORD, CT 064604603
2033016261
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
530 S JACKSON ST
LOUISVILLE, KY 402021675
5025623000
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
530 S JACKSON ST, C07
LOUISVILLE, KY 402021675
5028525875
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
571 S FLOYD ST
LOUISVILLE, KY 402023818
5026292398
Source: CMS National Downloadable File, September 2026.