Individual
ROY EA HOPE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1973 SLOAN PL, #225, MAPLEWOOD, MN 55117-2084
(651) 224-1347
(651) 855-0126
Mailing address
1973 SLOAN PL, #225, MAPLEWOOD, MN 55117-2084
(651) 224-1347
(651) 855-0126
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26810
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700299
MEDICA
MN
01
—
30839000
MEDICAID
WI
01
—
5T722HO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/04/2006
Last updated
07/08/2007
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