NPI 1063461416

Glenn S. Roush, MD

Practitioner Diagnostic Radiology Physician Albuquerque, NM

Practice location

Address: 4411 the 25 Way NE, Albuquerque, NM 87109-5888
Phone: (505) 332-6921
Fax: (256) 382-6455
Mailing address: 121 Greystone Dr, Hillsboro, OH 45133-1537

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 79-83 (NM)

Other Radiology providers in New Mexico →

Registry record

NPI: 1063461416
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.