Individual
DR. DAVID BERNARD ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 S MAIN ST, PETAL, MS 39465-2362
(601) 336-5626
(601) 336-7826
Mailing address
201 S MAIN ST, PETAL, MS 39465-2362
(601) 336-5626
(601) 336-7826
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4312
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
21178
MS
207ND0101X
MOHS-Micrographic Surgery Physician
4312
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09652756
—
MS
Enumeration date
05/29/2007
Last updated
04/15/2015
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