Individual
DR. ROY ALLEN DEFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3524 N 1ST AVE, EVANSVILLE, IN 47710-3320
(812) 425-1555
(812) 425-1815
Mailing address
5565 MAPLE HILL RD, NEW HARMONY, IN 47631-9303
(812) 682-3138
(812) 425-1815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031109
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246950B
—
IN
Enumeration date
03/30/2006
Last updated
09/15/2014
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