Individual
LEON DENSON ROYSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2012 FRANKLIN ST, CHICO, CA 95928-6727
(530) 899-4791
(530) 893-6184
Mailing address
2012 FRANKLIN ST, CHICO, CA 95928-6727
(530) 899-4791
(530) 893-6184
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12790
LICENSE
CA
Enumeration date
06/18/2006
Last updated
03/07/2023
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