Individual
SAMANTHA ROYALTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
(360) 479-3657
Mailing address
PO BOX 94704, SEATTLE, WA 98124-7004
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61245285
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2215642
—
WA
Enumeration date
03/23/2018
Last updated
01/11/2024
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