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Individual

MR. ROBERT HOLLAND ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
730 CELEBRITY DRIVE, AMERICAN STAT CARE CENTER, RUSTON, LA 71270
(318) 255-2100
(318) 255-2040
Mailing address
PO BOX 2374, WEST MONROE, LA 71294-2374
(318) 396-3800
(318) 396-3852

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP03161
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1546241
LA
Enumeration date
08/31/2006
Last updated
12/10/2010
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