Individual
BERKLEY RANDOLPH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-6400
(559) 353-7213
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93638-8761
(559) 353-6400
(559) 353-7213
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
G85858
CA
208000000X
Pediatrics Physician
Primary
G85858
CA
Other
Enumeration date
08/12/2006
Last updated
09/11/2025
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