Individual
DARRELL WAYNE RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 939-3000
(925) 947-5286
Mailing address
PO BOX 7793, SAN FRANCISCO, CA 94120-7793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G75786
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
G75786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G757860
—
CA
Enumeration date
06/29/2006
Last updated
11/28/2016
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