Powell, Berkley Randolph

Powell, Berkley Randolph is an individual health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93638-8761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Powell, Berkley Randolph can be contacted via phone (559) 353-6400.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93638-8761
Phone: (559) 353-6400
Fax: (559) 353-7213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X G85858 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G85858 California

Profile Details

NPI number 1164434056
LBN Legal business name Powell, Berkley Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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