Individual
DWIGHT ROYSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
975 KIRMAN AVE, AMBULATORY CARE SERVICE (11AC), RENO, NV 89502-0993
(805) 698-7417
Mailing address
975 KIRMAN AVE, AMBULATORY CARE SERVICE (11AC), RENO, NV 89502-0993
(805) 698-7417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15817
CA
Other
Enumeration date
07/02/2006
Last updated
08/25/2014
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