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Organization

DAVID W ROYCROFT MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID W. ROYCROFT MD (PRESIDENT)
(276) 666-7372
Entity
Organization

Contact information

Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7372
Mailing address
PO BOX 5308, MARTINSVILLE, VA 24115-5308

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101021284
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DG2781
RAILROAD MEDICARE
Enumeration date
01/26/2006
Last updated
04/17/2008
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