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Organization
RANDALL HEPWORTH
Active
Organization
RANDALL HEPWORTH
Active
Other names
RIVER ROCK PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL CLAUD HEPWORTH MD (PHYSICIAN)
(916) 404-2715
Entity
Organization
Contact information
Practice address
1000 RIVER ROCK DR, # 114, FOLSOM, CA 95630-0367
(916) 989-2086
(916) 989-0367
Mailing address
1000 RIVER ROCK DR, # 114, FOLSOM, CA 95630-2093
(916) 989-2086
(916) 989-0367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G45570
CA
291U00000X
Clinical Medical Laboratory
G45570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G455701
—
CA
01
—
LAB14087F
OFFICE LAB
CA
Enumeration date
04/18/2007
Last updated
07/24/2008
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