Individual
DR. BRENDA M ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 498-3111
Mailing address
12 HARDISON RD, CARIBOU, ME 04736-3743
(207) 498-8090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015567
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042816
ANTHEM BC/BS
ME
05
—
258990099
—
ME
01
—
300134385
RR MEDICARE
—
Enumeration date
07/07/2006
Last updated
11/19/2018
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