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NPI Code Detail

MEDICARE: ROYCE YORK MCMILLION

MEDICARE: ROYCE YORK MCMILLION
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
1175T00000XPeer SpecialistH080754051OK

General Provider Information

NPI Number : 1134736127
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROYCE YORK MCMILLION
Provider Business Mailing Address
First Line : 1824 S VAN BUREN ST
Second Line :
City : ENID
State : OK
Zip : 73703-7903
Country : US
Telephone Number : 580-747-5777
Fax Number :
Provider Business Practice Location Address
First Line : 1824 S VAN BUREN ST
Second Line :
City : ENID
State : OK
Zip : 73703-7903
Country : US
Telephone Number : 580-747-5777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2020
Last Update Date : 09/24/2020

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Directions to “ ROYCE YORK MCMILLION ” Practice Location

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