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Individual
DR. ALEXANDER ROUSSOS
Active
Individual
DR. ALEXANDER ROUSSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125071691
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A19536
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
03/23/2018
Last updated
06/24/2022
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