Michael Roush Valid NPI
Individual provider · Independent Duty Corpsman · Norfolk, VA
- NPI
- 1669629069
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-08-27
- Last updated
- 2008-08-27
Practice location
2600 Tarawa Ct
Norfolk, VA 23521-3235
(757) 462-4554