Individual
CRYSTAL L ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
611 W. PARK ST, URBANA, IL 61801
(309) 530-5101
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
(309) 530-5101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004731
IL
Other
Enumeration date
08/01/2013
Last updated
02/08/2024
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