Provider Demographics
NPI:1164634572
Name:ROWELL, GEORGE PEARSON (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:PEARSON
Last Name:ROWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1330 L ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1717
Mailing Address - Country:US
Mailing Address - Phone:559-443-1400
Mailing Address - Fax:559-443-1421
Practice Address - Street 1:1330 L ST
Practice Address - Street 2:SUITE E
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1717
Practice Address - Country:US
Practice Address - Phone:559-443-1400
Practice Address - Fax:559-443-1421
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC397922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry