Individual
ROY TSUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE MEMORIAL DRIVE, SUITE 300, DECATUR, IL 62526-6322
(217) 875-5565
(217) 875-4680
Mailing address
ONE MEMORIAL DRIVE, SUITE 300, DECATUR, IL 62526-6322
(217) 875-5565
(217) 875-4680
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036072402
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072402
—
IL
Enumeration date
12/19/2005
Last updated
07/26/2011
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