Individual
TRENTON MICHAEL ROYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CES
Contact information
Practice address
7777 S LEWIS AVE, TULSA, OK 74171-0003
(918) 495-7745
Mailing address
7821 E 97TH PL APT 12306, TULSA, OK 74133-6957
(402) 417-3326
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1010
OK
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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