Doctor Name: | RANDY ALAN BARCLAY |
NPI Number: | 1134212756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA13659 |
Business Practice Address: | 869 N Cherry St Tulare, CA - 932742207 |
Business Phone Number: | 5596853411 |
Business Fax Number: | 5596853864 |
Mailing Address: | 869 N Cherry St, TULARE |
State: | CA |
Postal Code: | 932742207 |
Phone Number: | 5596853411 |
Fax Number: | 5596853864 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | PA13659 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |