Individual
DOUGLAS MICHAEL ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 JONES BRIDGE RD, USUHS, PMB - PREV MED & BIOMETRICS, BETHESDA, MD 20814-4712
(301) 295-9764
Mailing address
10516 HUNTING CREST LN, VIENNA, VA 22182-1522
(703) 759-6284
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0101054496
VA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
0101054496
VA
Other
Enumeration date
11/16/2006
Last updated
09/28/2008
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