Individual
DR. ROBERT A ROYSTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101269885
VA
207L00000X
Anesthesiology Physician
01059024A
IN
207L00000X
Anesthesiology Physician
2011-00022
NC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2011-00022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336287
BCBS PIN
IN
01
—
000000501012
BCBS - DEACONESS GATEWAY
IN
05
—
200482000
—
IN
05
—
64083157
—
KY
Enumeration date
07/01/2006
Last updated
02/10/2025
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