MEDICARE: DR. RONALD O ROYCE DO

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
1	207X00000X	Orthopaedic Surgery Physician	DO214253	OR
2	207X00000X	Orthopaedic Surgery Physician	CO30129	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831169374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD O ROYCE DO

Provider Business Mailing Address
First Line	:	4105 BRIARGATE PKWY
Second Line	:	STE 300
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-3487
Country	:	US
Telephone Number	:	719-473-3332
Fax Number	:	719-368-6870

Provider Business Practice Location Address
First Line	:	3043 NE 28TH ST
Second Line	:
City	:	LINCOLN CITY
State	:	OR
Zip	:	97367-4518
Country	:	US
Telephone Number	:	541-994-3661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	01/27/2025

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