Provider Demographics
NPI:1083857007
Name:ROYDON G F STEINKE M D INC
Entity Type:Organization
Organization Name:ROYDON G F STEINKE M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROYDON
Authorized Official - Middle Name:GLEN FREDRICK
Authorized Official - Last Name:STEINKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-435-5265
Mailing Address - Street 1:6327 N FRESNO ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5236
Mailing Address - Country:US
Mailing Address - Phone:559-435-5265
Mailing Address - Fax:559-435-7195
Practice Address - Street 1:6327 N FRESNO ST STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5236
Practice Address - Country:US
Practice Address - Phone:559-435-5265
Practice Address - Fax:559-435-7195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42498207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA89757Medicare UPIN