Individual
BRANDON M ROSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 BEAVER DR, SUITE 1, DU BOIS, PA 15801-2434
(814) 503-8070
(814) 503-8531
Mailing address
33 BEAVER DR, SUITE 1, DU BOIS, PA 15801-2434
(814) 503-8070
(814) 503-8531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52046
MN
207Q00000X
Family Medicine Physician
Primary
MD442231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639394034
—
MN
Enumeration date
04/13/2007
Last updated
12/12/2012
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