Individual
DR. ROY BURTON VERDERY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
5322 N VIA ENTRADA, TUCSON, AZ 85718-4827
(520) 349-6362
Mailing address
5322 N VIA ENTRADA, TUCSON, AZ 85718-4827
(520) 349-6362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20913
AZ
207R00000X
Internal Medicine Physician
G85923
CA
207R00000X
Internal Medicine Physician
Primary
PB3541
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G859230
—
CA
Enumeration date
10/28/2006
Last updated
01/05/2021
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