Individual
DR. GREGORY R ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3768
(330) 480-2062
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 457-8180
(614) 583-3300
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
35.060012
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.060012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0382189
—
OH
Enumeration date
12/20/2005
Last updated
06/27/2023
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