Individual
MICHAEL PATRICK ROYALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4199 GATEWAY BLVD, DEPARTMENT OF ANESTHESIOLOGY, NEWBURGH, IN 47630-8940
(812) 842-4200
(812) 473-5822
Mailing address
PO BOX 637275, CINCINNATI, OH 45263-7275
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01069124A
IN
208VP0000X
Pain Medicine Physician
01069124A
IN
208VP0014X
Interventional Pain Medicine Physician
01069124A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201106200
—
IN
05
—
7100275020
—
KY
Enumeration date
09/28/2009
Last updated
07/18/2022
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