Graduated: 1980
NPI: 1750471777
Practice Locations (2)
MERCED UROLOGY MEDICAL GROUP, INC.
860 W OLIVE AVE
MERCED, CA 953482427
2097232122
MERCED UROLOGY MEDICAL GROUP, INC.
900 W OLIVE AVE, SUITE A
MERCED, CA 953482401
2097232122
Source: CMS National Downloadable File, September 2026.