Beryl L Randolph, MD, PC
Beryl L Randolph, MD, PC is an Obstetrics & Gynecology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2008.
- Licensed in
- IN
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
800 Broadway Ste 100Fort Wayne, IN 46802-2149
Phone: (260) 425-3102
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 01055463 (IN) |
|---|
Record details
| NPI number | 1902067598 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beryl Randolph — Owner · (260) 338-2048 |
| NPI enumerated | June 17, 2008 |
| Last updated in NPPES | June 17, 2008 |
| Mailing address | 800 Broadway, Suite 100, Fort Wayne, IN 46802-2149 |
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