Randall Hepworth

NPI #1639396237 in Folsom, California

Provider Information

NPI Number: 1639396237
Entity Type: Organization
Organization Name: Randall Hepworth
Primary Specialty: Pediatrics
Enumeration Date: Apr 18, 2007
Last Updated: Jul 24, 2008

Practice Location

Address: 1000 RIVER ROCK DR
Address 2: # 114
City: Folsom
State: California
ZIP Code: 95630-0367
Phone: (916) 989-2086

Authorized Official

Name: DR. RANDALL CLAUD HEPWORTH, MD
Title: PHYSICIAN
Phone: (916) 404-2715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Medical Laboratory	291U00000X
Pediatrics	208000000X	Primary

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