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Individual

DR. CLYDE R ROY III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
602 N LEWIS ST, SUITE 400, NEW IBERIA, LA 70563-2093
(337) 365-4113
(307) 365-4115
Mailing address
602 N LEWIS ST, SUITE 400, NEW IBERIA, LA 70563-2093
(337) 365-4113
(307) 365-4115

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
016789
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1969290
LA
Enumeration date
07/06/2005
Last updated
07/08/2007
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