STACY D ROYALL

RADFORD, VA
NPI1417500307
Former NameSTACY D GODDARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: VA  0024177404)
Enumeration Date2019-07-19
Last Update Date2020-04-20
Business Address
STACY D ROYALL NP-BC
401 W MAIN ST
RADFORD, VA 24141-1588
Phone number: 540-961-8300
Mailing Address
STACY D ROYALL NP-BC
916 KESSLER MILL RD
SALEM, VA 24153-3048
Phone number: 540-505-8530