Individual
DR. RENE MARTIN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
1 CHILDRENS PL, DIV PED CRITICAL CARE MED, SAINT LOUIS, MO 63110-1002
(314) 454-2527
(314) 747-8880
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-2527
(314) 747-8880
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2017016926
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062032
—
MO
Enumeration date
03/25/2014
Last updated
04/17/2025
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