Individual
MICHAEL O ROYSTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
301 HALIFAX ST, PETERSBURG, VA 23803-6335
(804) 863-1652
(804) 862-6126
Mailing address
301 HALIFAX ST, PETERSBURG, VA 23803-6335
(804) 863-1652
(804) 862-6126
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
0101233567
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4975073
—
VA
Enumeration date
03/27/2006
Last updated
07/08/2007
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