Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1993
Also: INTERNAL MEDICINE
NPI: 1760588305
Practice Locations (3)
PROVIDENCE MEDICAL FOUNDATION
2280 HARRISON AVE
EUREKA, CA 955013200
7074439371
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.