Individual
JASON TODD ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3631 S 6TH ST, SPRINGFIELD, IL 62703-4777
(217) 535-3685
(217) 529-0988
Mailing address
3631 S 6TH ST, SPRINGFIELD, IL 62703-4777
(217) 535-3685
(217) 529-0988
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
096002332
IL
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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