Individual
DR. STEVEN BRYAN ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
154877-1
NY
207VG0400X
Gynecology Physician
Primary
MD039279L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009002150001
—
PA
05
—
00761519
—
NY
01
—
160049844
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039794
PA MEDICARE GROUP
PA
Enumeration date
02/13/2006
Last updated
09/16/2011
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