Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Royce Tucker Holyoak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073248605

Royce Tucker Holyoak is a Physician Assistant in Pocatello, Idaho. Qualified in 2022, 4 years ago. Practices with Teton Radiology Diagnostic a Series of Teton Group Enterprise, a 41-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073248605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Teton Radiology Diagnostic A Series Of Teton Group Enterprise — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

Other providers in Pocatello