Individual
MIKE A ROYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD JD MBA
Contact information
Practice address
12481 HIGH BLUFF DR, SUITE 200, SAN DIEGO, CA 92130-3585
(858) 436-1427
(858) 436-1401
Mailing address
4533 OCEAN VALLEY LN, SAN DIEGO, CA 92130-2428
(858) 794-4975
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G86767
CA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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