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NPI Code Detail

MEDICARE: DAVID W ROYCROFT MD INC

MEDICARE: DAVID W ROYCROFT MD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101021284VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DG2781OTHERRAILROAD MEDICARE

General Provider Information

NPI Number : 1538139837
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID W ROYCROFT MD INC
Provider Business Mailing Address
First Line : PO BOX 5308
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24115-5308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 HOSPITAL DR
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-1900
Country : US
Telephone Number : 276-666-7372
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID W. ROYCROFT
Credential : MD
Telephone Number : 276-666-7372
Provider Enumeration Date : 01/26/2006
Last Update Date : 04/17/2008

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Directions to “DAVID W ROYCROFT MD INC ” Practice Location

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