Provider Demographics
NPI:1700840998
Name:ROY, DANIEL SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SETH
Last Name:ROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11712 136TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-2432
Mailing Address - Country:US
Mailing Address - Phone:253-651-9688
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-2310
Practice Address - Fax:253-968-5586
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2024-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-182302080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics