Provider Demographics
NPI:1164485397
Name:ROY, E. P III (MD)
Entity Type:Individual
Prefix:
First Name:E.
Middle Name:P
Last Name:ROY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EMILE
Other - Middle Name:P
Other - Last Name:ROY
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2121 OLD GATESBURG RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-2290
Mailing Address - Country:US
Mailing Address - Phone:814-231-6868
Mailing Address - Fax:814-231-1581
Practice Address - Street 1:2121 OLD GATESBURG RD
Practice Address - Street 2:SUITE 100
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2290
Practice Address - Country:US
Practice Address - Phone:814-231-6868
Practice Address - Fax:814-231-1581
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033372E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology