Individual
BRUCE GLENN ROY
Active
Individual
BRUCE GLENN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD049331L
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME71957
FL
207RP1001X
Pulmonary Disease Physician
MD049331L
PA
207RP1001X
Pulmonary Disease Physician
Primary
ME71957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281349100
—
FL
01
—
41108
BCBS
FL
01
—
AL303Z
MEDICARE
FL
Enumeration date
07/17/2006
Last updated
11/14/2018
Update your record
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