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Individual

MARK ROYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
706 N BURKHARDT RD, EVANSVILLE, IN 47715-2740
(812) 465-2727
(812) 297-8954
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01065502A
IN
207Y00000X
Otolaryngology Physician
MD60275074
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0296849
L&I
WA
05
1699933648
WA
05
201129440
IN
01
P01110212
RR MEDICARE
WA
Enumeration date
05/27/2008
Last updated
07/01/2025
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