Individual
ROY EUGENE BREEN
Active
Individual
ROY EUGENE BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD12258
OR
208C00000X
Colon & Rectal Surgery Physician
Primary
12258
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136531
—
OR
05
—
8104184
—
WA
Enumeration date
11/14/2006
Last updated
11/06/2024
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