BERYL L RANDOLPH,M.D., P.C.

FORT WAYNE, IN
NPI1902067598
Entity TypeOrganization
Authorized ContactBERYL LYNN RANDOLPH
Owner
260-338-2048
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IN  01055463)
Enumeration Date2008-06-17
Last Update Date2008-06-17
Business Address
BERYL L RANDOLPH,M.D., P.C.
800 BROADWAY SUITE 100
FORT WAYNE, IN 46802-2149
Phone number: 260-425-3102
Mailing Address
BERYL L RANDOLPH,M.D., P.C.
800 BROADWAY SUITE 100
FORT WAYNE, IN 46802-2149
Phone number: 260-425-3102