MS. DEREK ROYDAVIS, PA-C
Physician Assistant
Active
Individual
NPI: 1265102826
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | - |
| Physician Assistant - Surgical | 363AS0400X | No | - |
| Physician Assistant | 363A00000X | Yes | 1186126 () |
Frequently Asked Questions
NPI 1265102826 is the National Provider Identifier for MS. DEREK ROYDAVIS, PA-C, a Physician Assistant provider located in Park Ridge, IL. This NPI was enumerated on September 15, 2021.
MS. DEREK ROYDAVIS, PA-C practices at 1700 LUTHER LN STE 1170, Park Ridge, IL 60068.
Quick Facts
- NPI
- 1265102826
- Type
- Individual
- Enumerated
- Sep 15, 2021
- Last Updated
- Mar 9, 2022
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