Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1699888610
Practice Locations (4)
PROVIDENCE MEDICAL FOUNDATION
400 N MCDOWELL BLVD
PETALUMA, CA 949542339
7077782631
PROVIDENCE MEDICAL FOUNDATION
1165 MONTGOMERY DR
SANTA ROSA, CA 954054801
7075463210
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
UKIAH ADVENTIST HOSPITAL
275 HOSPITAL DR
UKIAH, CA 954824531
7074623111
Source: CMS National Downloadable File, September 2026.