Individual
MR. RANDOLPH STEVEN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA AND RRT
Contact information
Practice address
1119 W MORTON AVE, PORTERVILLE, CA 93257-1946
(559) 784-4944
Mailing address
1119 W MORTON AVE, PORTERVILLE, CA 93257-1946
(559) 784-4944
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP9514
CA
363A00000X
Physician Assistant
PA12253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12253
PHYSICIAN ASSISTANT
CA
01
—
RCP9514
RCP
CA
Enumeration date
05/10/2007
Last updated
09/11/2025
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