Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 20437 | AL |
NPI | 1225051204 |
---|---|
Provider Name | Dr. William Joseph Roy JR. |
First Address | Mobile, AL 36685-0489 |
Second Address | Mobile, AL 36608-6705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 27/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009911669 | (05) | AL |
F94081 | UPIN (01) | CA |