David B Roy Do Pa

NPI 1194124834 - Dermatology - 207ND0101X

NPI Details
NPI 1194124834
Enumeration Date 08/19/2014
Last Updated 01/29/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOY LYNN JOY
Position OFFICE MANAGER
Phone (318) 884-9706
Fax
Practice Location
201 S MAIN ST
PETAL MS, 39465-2362, US
Phone (318) 884-9706
Fax
Business Location
201 S MAIN ST
PETAL MS, 39465-2362, US
Phone (318) 884-9706
Fax
Toxanomy
Taxonomy Code 207ND0101X
License State Mississippi
License Number 21178
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According to our database, David B Roy Do Pa NPI is 1194124834, taxonomy code is 207ND0101X and license number is 21178, license state is located at Mississippi. David B Roy Do Pa physically located at 201 S Main St, Petal MS, 39465-2362. NPI Number 1033115704 has the healthcare provider type.

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1194124834 NPI number is provided on an as is basis without warranty of any kind. 1194124834 is maintained by the National Plan & Provider Enumeration System. The contents of David B Roy Do Pa are for informational purposes only.