Organization · Type 2 NPI

Providence Medical Foundation

Surgery Physician · Eureka, CA

NPI number 1477790517 Active

Practice location

2752 Harrison Ave, Suite A
Eureka, CA 95501-4738

Call (707) 268-0190 Map

Mailing address

PO Box 31001 - 1920
Pasadena, CA 91110-1920

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

6 other providers at this address

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About NPI 1477790517

Providence Medical Foundation's National Provider Identifier is 1477790517, issued on Jan 12, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Eureka, CA. The record was last updated on Feb 3, 2026.