Individual
JONATHAN ROBERT ROYLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 MATTHEW ST, MARIETTA, OH 45750-1644
(740) 376-1994
(740) 374-4961
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-3165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35089746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2768367
—
OH
05
—
3810009873
—
WV
Enumeration date
05/17/2007
Last updated
11/13/2008
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