Organization
MICHAEL P ROYALTY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P ROYALTY MD (OWNER)
(812) 473-0181
Entity
Organization
Contact information
Practice address
4888 LOST LAKE CT, BOONVILLE, IN 47601
(812) 473-0181
(812) 473-5822
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
IN
Other
Enumeration date
11/18/2015
Last updated
08/20/2018
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