Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1994
NPI: 1831296185
Practice Locations (2)
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
SHARP REES-STEALY MEDICAL GROUP INC
5525 GROSSMONT CTR DR
LA MESA, CA 919423009
8584992600
Source: CMS National Downloadable File, September 2026.