Individual
GLENN S. ROUSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 THE 25 WAY NE, ALBUQUERQUE, NM 87109-5888
(505) 332-6921
(256) 382-6455
Mailing address
121 GREYSTONE DR, HILLSBORO, OH 45133-1537
(937) 393-6959
(937) 393-6959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
79-83
NM
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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