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Organization
ST ROY FAMILY CARE LLC
Active
Organization
ST ROY FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN F STROY MD (OWNER/PRESIDENT)
(337) 769-1095
Entity
Organization
Contact information
Practice address
1002 12TH ST, LAFAYETTE, LA 70501-6224
(337) 769-1095
(337) 769-1098
Mailing address
PO BOX 91133, LAFAYETTE, LA 70509-1133
(337) 769-1095
(337) 769-1098
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
13348R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1561797
—
LA
Enumeration date
05/20/2009
Last updated
05/20/2009
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