Individual
DR. ROY ELLIOTT CECCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
613 DORBETT STREET, JASPER, IN 47546
(812) 634-7123
(812) 482-9551
Mailing address
613 DORBETT STREET, JASPER, IN 47546-2615
(812) 634-7123
(812) 482-3993
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01041439
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111070
—
IN
Enumeration date
08/24/2006
Last updated
02/04/2011
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