Individual
DR. JOHN M ROYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1112 E WEISGARBER RD, SUITE 201, KNOXVILLE, TN 37909
(865) 558-9862
(865) 584-3478
Mailing address
1112 E WEISGARBER RD, KNOXVILLE, TN 37909-2647
(865) 558-9862
(865) 584-3478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16410
TN
2085R0202X
Diagnostic Radiology Physician
Primary
16410
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3037623
—
TN
01
—
6471249000
KENTUCKY MEDICAID
KY
Enumeration date
12/05/2006
Last updated
12/15/2020
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