Provider Demographics
NPI:1356759088
Name:GEORGE P. ROWELL, M.D., INC.
Entity type:Organization
Organization Name:GEORGE P. ROWELL, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:PEARSON
Authorized Official - Last Name:ROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-443-1400
Mailing Address - Street 1:1330 L ST STE E
Mailing Address - Street 2:
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 STE E
Practice Address - Street 2:
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC397922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty