Individual
MADISON RAE ROYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
Mailing address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004628A
IN
Other
Enumeration date
08/20/2024
Last updated
11/06/2024
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