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Individual

DR. STEPHEN T. ROUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1500 GRAND CENTRAL AVE STE 108, VIENNA, WV 26105-1079
(304) 893-9586
Mailing address
9240 EXPLORER DR STE 215, COLORADO SPRINGS, CO 80920-5006

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1077
WV
111N00000X
Chiropractor
CHR.0007919
CO

Other

Enumeration date
11/02/2018
Last updated
10/19/2022
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