Individual
MR. JOHN WILLIAM ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3341
Mailing address
1585 3RD ST BLDG 285, FORT POLK, LA 71459-5102
(337) 531-3341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
761396
TX
Other
Enumeration date
01/20/2010
Last updated
11/03/2021
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