Individual
DR. NORRIS A ROYSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8255 E MAIN ST, MARSHALL, VA 20115-3253
(540) 364-1581
(540) 364-7314
Mailing address
PO BOX 337, 8255 E MAIN STREET, MARSHALL, VA 20116-0337
(540) 364-1581
(540) 364-7314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101023684
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005604834
—
VA
01
—
012930218
RAILROAD MEDICARE
—
01
—
100408
ANTHEM
VA
01
—
220437
MAMSI
—
01
—
4089225
AETNA
—
01
—
519487
NCPPO
—
01
—
99870001
CAREFIRST
—
Enumeration date
06/27/2006
Last updated
02/10/2011
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