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Individual

ROY MITCHELL TENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3164
(765) 983-3260
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8802
(765) 983-3219

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02002308A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
02002308A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200310510
IN
Enumeration date
04/26/2006
Last updated
03/14/2022
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